Organization
NEUROLOGY CONSULTANTS PC
Active
Organization
NEUROLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERRI E SHARP (OFFICE MANAGER)
(563) 383-2667
Entity
Organization
Contact information
Practice address
4700 E 56TH ST, SUITE 100, DAVENPORT, IA 52807-2903
(563) 383-2667
(563) 383-2672
Mailing address
4700 E 56TH ST, SUITE 100, DAVENPORT, IA 52807-2903
(563) 383-2667
(563) 383-2672
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219014
—
IA
01
—
21901
WELLMARK BCBS
—
01
—
CP8140
RAILROAD MEDICARE
—
Enumeration date
03/16/2006
Last updated
12/12/2016
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