| State Street Women's Health Center | |
|
1004 State St Bettendorf IA 52722-4856 | |
| (563) 359-5535 | |
| Not Available |
| Full Name | State Street Women's Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1004 State St, Bettendorf, Iowa |
| Authorized Official Name and Position | Teresa L Coon (MD) |
| Authorized Official Contact | 5633595535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Street Women's Health Center 1004 State St Bettendorf IA 52722-4856 Ph: (563) 359-5535 | State Street Women's Health Center 1004 State St Bettendorf IA 52722-4856 Ph: (563) 359-5535 |
| NPI Number | 1801941349 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801941349 | NPI | - | NPPES |
| 05569 | Other | IA | BLUE SHIELD OF IOWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32230 (Iowa) | Primary |
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