Sam Xavier Funk
Sam Xavier Funk is a Student in an Organized Health Care Education/Training Program in Davenport, Iowa. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1536 W Central Park AveDavenport, IA 52804-1741
Phone: (660) 342-6871
Fax: (660) 342-6871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1851802276 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 12, 2017 |
| Last updated in NPPES | October 12, 2017 |
| Mailing address | 1536 W Central Park Ave, Davenport, IA 52804-1741 |
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