STONE RIDGE MEDICAL GROUP SC

Family Medicine

Active Organization
NPI: 1306097894

Practice Address

306 46TH AVE
East Moline, IL 61244

Phone: (309) 796-2329

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 336053231 (IL)
Physician Assistant - Medical 363AM0700X No 085002304 (IL)
Nurse Practitioner 363L00000X No 209000908 (IL)

Frequently Asked Questions

NPI 1306097894 is the National Provider Identifier for STONE RIDGE MEDICAL GROUP SC, a Family Medicine provider located in East Moline, IL. This NPI was enumerated on October 2, 2008.

Quick Facts

NPI
1306097894
Type
Organization
Enumerated
Oct 2, 2008
Last Updated
Oct 2, 2008

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