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Iowa Head & Neck PC

Otolaryngology in Des Moines, IA. Organization (NPI-2).

NPI number1760655138
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1760655138
Entity type
Organization (NPI-2)
Legal business name
Iowa Head & Neck PC
Organization subpart
No
Enumeration date
Apr 8, 2008
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology–IAYes

Practice location

3901 Ingersoll Ave
Des Moines, IA 50312-3505

Phone 515-274-9136 · Fax 515-274-3107

Mailing address

3901 Ingersoll Ave
Des Moines, IA 50312-3505

Phone 515-274-9136 · Fax 515-274-3107

Authorized official

Robert Terrance Brown
Owner
5152749136

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