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Organization

VITUITY-IOWA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID BIRDSALL MD (PRESIDENT)
(510) 350-2759
Entity
Organization

Contact information

Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
08/17/2023
Last updated
10/24/2023
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