Individual
MR. WILLIAM ALBERT CHILDERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 W. 8TH ST., DAVENPORT, IA 52802
(563) 200-6710
Mailing address
1455 W. 8TH ST., DAVENPORT, IA 52802
(563) 200-6710
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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