Aeon Group Hst
Aeon Group Hst is a Medical Specialty Clinic/Center in Davenport, Iowa. Licensed in Iowa. Registered with an NPI since 2012.
- Licensed in
- IA
- In the registry since
- 2012
Practice location Address checks out
1801 E 54th St Ste 200Davenport, IA 52807-7209
Phone: (563) 386-1904
Fax: (866) 899-2592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X (IA) |
|---|
Record details
| NPI number | 1457600157 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Penny Grunder — Project Manager · (563) 386-1904 |
| NPI enumerated | September 10, 2012 |
| Last updated in NPPES | September 10, 2012 |
| Mailing address | 1801 E 54th St, Suite 200, Davenport, IA 52807-7209 |
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