NPI 1548681950

Jmj3 Heritage, L.L.C.

Organisation General Practice Physician Davenport, IA

Practice location

Address: 3800 Commerce Blvd, Davenport, IA 52807-3495
Phone: (563) 322-1888
Mailing address: 3135 52nd Avenue CT, Bettendorf, IA 52722-6953

Authorised official

Name: Naomi Chelli
Title: Organizer
Phone: (563) 508-5139

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 35355 (IA)

Other General Practice providers in Iowa →

Registry record

NPI: 1548681950
Entity type: Organization
NPI issued: 2 Jan 2014
Record last updated: 2 Jan 2014

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.