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Jeremy J McGrath, PA-C

Physician Assistant, Medical in Davenport, IA. Individual provider (NPI-1).

NPI number1790742864
StatusActive
Last updated in NPPESOct 27, 2011

Details

NPI
1790742864
Entity type
Individual (NPI-1)
Name
Jeremy J McGrath
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
May 1, 2006
Last updated
Oct 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical001395IAYes

Practice location

3385 Dexter Ct
Ste 101
Davenport, IA 52807-3471

Phone 563-359-1646 · Fax 563-344-6703

Mailing address

3385 Dexter Ct
Ste 101
Davenport, IA 52807-3471

Phone 563-359-1646 · Fax 563-344-6703

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