River Valley Family Practice Ltd
NPI #1275687113 in Rock Island, Illinois
Provider Information
- NPI Number
- 1275687113
- Entity Type
- Organization
- Organization Name
- River Valley Family Practice Ltd
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Oct 11, 2007
Practice Location
- Address
- 2550 24TH ST
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201-5304
- Phone
- (309) 793-4223
Authorized Official
- Name
- DAVID GANNON, M.D.
- Title
- DOCTOR
- Phone
- (309) 739-4223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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