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Organization
PHYSICIANS' CLINIC OF IOWA, PC, DEPT OF ENT
Active
Organization
PHYSICIANS' CLINIC OF IOWA, PC, DEPT OF ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA S COOPER (CEO)
(319) 398-1772
Entity
Organization
Contact information
Practice address
901 8TH AVE SE, CEDAR RAPIDS, IA 52401-2121
(319) 399-2022
(319) 399-2014
Mailing address
901 8TH AVE SE, CEDAR RAPIDS, IA 52401-2121
(319) 399-2022
(319) 399-2014
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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