NPI 1073146692
Quad Cities Regenerative Medicine, LLC
Practice location
- Address
- 4101 John Deere Rd STE 2, Moline, IL 61265-6790
- Phone
- (309) 581-2999
Authorised official
- Name
- Lance M Carroll
- Title
- Manager
- Phone
- (309) 502-9513
Registered specialties (2)
Chiropractor
Primary
Nurse Practitioner
Registry record
- NPI
- 1073146692
- Entity type
- Organization
- NPI issued
- 21 Feb 2020
- Record last updated
- 21 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.