MEDICARE: MS. CATHERINE COLLEY PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	75299	IA

General Provider Information

NPI Number	:	1598168676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE COLLEY PA-C

Provider Business Mailing Address
First Line	:	1701 88TH AVE W
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-7637
Country	:	US
Telephone Number	:	130-971-6732
Fax Number	:

Provider Business Practice Location Address
First Line	:	3618 N DIVISION ST STE 202
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52806-5403
Country	:	US
Telephone Number	:	309-716-7329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2014
Last Update Date	:	11/28/2023

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Directions to “ MS. CATHERINE COLLEY PA-C” Practice Location

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