Eva Endovascular Access Centers Of America PLLC
Internal Medicine, Nephrology in Bettendorf, IA. Organization (NPI-2).
NPI number1417629338
StatusActive
Last updated in NPPESOct 12, 2023
Details
- NPI
- 1417629338
- Entity type
- Organization (NPI-2)
- Legal business name
- Eva Endovascular Access Centers Of America PLLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2021
- Certification date
- Oct 12, 2023
- Last updated
- Oct 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – | |
| 2086S0129X | – | – |
Practice location
3682 Utica Ridge RoadBettendorf, IA 52722
Phone 563-279-1590
Mailing address
1350 Boyson Rd Ste C1Hiawatha, IA 52233-2211
Phone 319-654-6741 · Fax 563-279-1591
Authorized official
Haley Ann Slifka
Operations Associate
3196546741
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