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Sam Xavier Funk
Student in an Organized Health Care Education/Training Program in Davenport, Iowa
NPI 1851802276

Sam Xavier Funk is a Student in an Organized Health Care Education/Training Program based in Davenport, IA. Sam Xavier Funk practices in Davenport, IA. The NPI Number for Sam Xavier Funk is 1851802276 and holds a License No. (Iowa).

The current practice location address for Sam Xavier Funk is 1536 W Central Park Ave, Davenport, IA and can be reached out via phone at 660-342-6871 and via fax at 660-342-6871. You can also correspond with Sam Xavier Funk through the mailing address at 1536 W CENTRAL PARK AVE, DAVENPORT, IA - 52804-1741 (mailing address contact number: 660-342-6871).

Location: 1536 W Central Park Ave, Davenport, IA, 52804-1741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851802276
Provider Name
Sam Xavier Funk
Credential
Provider Entity Type
Individual
Gender
Male
Address
1536 W Central Park Ave, Davenport, IA, 52804-1741
Phone Number
660-342-6871
Fax Number
660-342-6871
Provider Enumeration Date
10/12/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1536 W Central Park Ave
City
Davenport
State
Iowa
Zip
52804-1741
Phone Number
660-342-6871
Fax Number
660-342-6871
person
Provider Business Mailing Address Details
Address
1536 W Central Park Ave
City
Davenport
State
Iowa
Zip
52804-1741
Phone Number
660-342-6871
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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