Organization
QUAD CITY PROSTHETIC INC
Active
Parent organization
QUAD CITY PROSTHETIC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUAD CITY PROSTHETIC INC
Authorized official
MR. AMIT BHANTI CPO (CEO)
(309) 676-2276
Entity
Organization
Contact information
Practice address
2207 E 52ND ST, STE 1, DAVENPORT, IA 52807
(563) 355-4043
(563) 355-4063
Mailing address
741 W MAIN ST, PEORIA, IL 61606-1953
(800) 334-5705
(888) 663-6322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
09/24/2024
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