Organization
CARDIOVASCULAR MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND P COYNE M.D. (PRESIDENT)
(563) 324-2992
Entity
Organization
Contact information
Practice address
1236 E. RUSHOLME STREET, SUITE 300, DAVENPORT, IA 52803
(563) 324-2992
(563) 888-0499
Mailing address
1236 E. RUSHOLME STREET, SUITE 300, DAVENPORT, IA 52803
(563) 324-2992
(563) 888-0499
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247403
—
IA
Enumeration date
06/29/2006
Last updated
01/11/2022
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