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Individual

DR. AMANDA M MOTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
5359 EASTERN AVE, DAVENPORT, IA 52807-2738
(563) 742-5900
(563) 742-5905
Mailing address
5359 EASTERN AVE, DAVENPORT, IA 52807-2738
(563) 742-5900
(563) 742-5905

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3972
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578705653
IA
Enumeration date
04/03/2009
Last updated
01/19/2012
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