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Individual

DR. ROBERT F. GODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2322 E KIMBERLY RD, SUITE N100, DAVENPORT, IA 52807-7205
(563) 355-3376
Mailing address
2322 E KIMBERLY RD, SUITE N100, DAVENPORT, IA 52807-7205
(563) 355-3376

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17538
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0090084
IA
Enumeration date
03/02/2007
Last updated
07/08/2007
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