OrganizationActive
Aeon Group Hst
NPI 1457600157 · Medical Specialty Clinic/Center · Davenport, IA
Provider details
- NPI number
- 1457600157
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Penny Grunder, Project Manager(563) 386-1904
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1801 E 54th St
Suite 200
Davenport, IA 52807-7209
Phone: (563) 386-1904
Fax: (866) 899-2592
Approximate (ZIP-level) locationGet directions
Mailing address
1801 E 54th St
Davenport, IA 52807-7209
Registry dates
- Enumerated
- 2012-09-10
- Last updated
- 2012-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.