Organization
AEON SLEEP GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY T. GRUNDER (PROJECT MANAGER)
(563) 386-1904
Entity
Organization
Contact information
Practice address
730 E KIMBERLY RD, SUITE C, DAVENPORT, IA 52807-1621
(563) 386-1904
(563) 449-5450
Mailing address
730 E KIMBERLY RD, SUITE C, DAVENPORT, IA 52807-1621
(563) 386-1904
(563) 449-5450
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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