Organization
QUAD CITY PULMONARY CONSULTANTS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES B BRUYNTJENS MD (PRESIDENT)
(563) 445-8000
Entity
Organization
Contact information
Practice address
1230 E RUSHOLME ST STE 105, DAVENPORT, IA 52803-2400
(563) 445-8000
(563) 324-7531
Mailing address
1230 E RUSHOLME ST STE 105, DAVENPORT, IA 52803-2400
(563) 445-8000
(563) 324-7531
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
28605
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7086132
—
IA
Enumeration date
01/12/2006
Last updated
07/02/2008
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