Pediatric Center P C

NPI Provider: 1760487854
Contact Name: Davenport J Marilyn
Position: Clinic Administrator
Phone: (319) 363-3600

Pediatric Center P C Information:

Pediatric Center P C organization have npi 1760487854, taxonomy code is 208000000X with license number is 26978 in . This Business address located in 411 10th St SE, Cedar Rapids, IA 52403 Iowa.

Practice Location
Address: 411 10th St SE, Cedar Rapids, IA 52403
Phone: (319) 363-3600

Business Location
Address: 411 10th St SE, Cedar Rapids, IA 52403
Phone: (319) 363-3600
Fax: (443) 260-2754

Taxonomy

Taxonomy Code: 208000000X

License Number: 26978

License Number of State: IA

Primary Taxonomy Switch: N

Enumeration Date: 6/16/2005

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