Organization · Type 2 NPI
Bolger Aesthestics, PC
Health Service Clinic/Center · Davenport, IA
NPI number
1124449780
Active
Practice location
5510 Utica Ridge Rd, Suite 300
Davenport, IA 52807-2946
Fax (563) 594-5161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1124449780
Bolger Aesthestics, PC's National Provider Identifier is 1124449780, issued on Dec 30, 2013. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Davenport, IA. The record was last updated on Jan 31, 2014.