Organization
QUAD CITIES PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY HEGG (OFFICE MANAGER)
(563) 551-3800
Entity
Organization
Contact information
Practice address
3385 DEXTER CT STE 105, DAVENPORT, IA 52807-3471
(563) 940-6604
Mailing address
3385 DEXTER CT STE 105, DAVENPORT, IA 52807-3471
(563) 551-3800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255310744
NPI
IA
01
—
1821077322
NPI
IA
Enumeration date
09/01/2021
Last updated
11/18/2021
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