Graduated: 2001
NPI: 1518054436
Practice Locations (2)
WATERFORD FAMILY MEDICINE PC
1820 E 54TH ST B
DAVENPORT, IA 528072797
5633559990
QUAD CITY PHYSICAL THERAPY AND SPINE
5254 UTICA RIDGE RD
DAVENPORT, IA 528073872
5633593799
Source: CMS National Downloadable File, September 2026.