Dawn M Bode, MD
Family Medicine in Moline, IL. Individual provider (NPI-1).
NPI number1619972999
StatusActive
Last updated in NPPESApr 21, 2021
Details
- NPI
- 1619972999
- Entity type
- Individual (NPI-1)
- Name
- Dawn M Bode
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2005
- Certification date
- Apr 21, 2021
- Last updated
- Apr 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036099085 | IL | Yes |
| 207Q00000X | Family Medicine | 036-0099085 | IL |
Other names
- Dawn M Everhart (Former Name)
Practice location
3900 28th Avenue DrSuite 200
Moline, IL 61265-5536
Phone 309-281-6000 · Fax 309-281-6009
Mailing address
865 Lincoln RdSte L10
Bettendorf, IA 52722-4159
Phone 563-355-9191 · Fax 563-355-3419
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