Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Health Group Davenport Pediatric Health Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G. ROGERS (VP OF FINANCE)
(563) 421-6513
Entity
Organization
Contact information
Practice address
1351 W CENTRAL PARK AVE, SUITE 4100, DAVENPORT, IA 52804-1853
(563) 383-2581
(563) 383-5770
Mailing address
865 LINCOLN RD, SUITE L10, BETTENDORF, IA 52722-4190
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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