Healthcare Provider Details

I. General information

NPI: 1801180427
Provider Name (Legal Business Name): DARBIE LYNN LITTLE-COOPER MD, MPH, MHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 W 3RD ST
DAVENPORT IA
52802-1812
US

IV. Provider business mailing address

PO BOX 4028
ROCK ISLAND IL
61204-4028
US

V. Phone/Fax

Practice location:
  • Phone: 563-421-0500
  • Fax: 563-326-1901
Mailing address:
  • Phone: 563-355-9200
  • Fax: 563-355-3419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-41804
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD-41804
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: