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Organization

BURLINGTON EAR NOSE & THROAT CLINIC PC

Active
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Organization

BURLINGTON EAR NOSE & THROAT CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS EDWIN HENRICH M.D. (PHYSICIAN)
(319) 752-2725
Entity
Organization

Contact information

Practice address
1225 S GEAR AVE, STE 255, WEST BURLINGTON, IA 52655-1687
(319) 752-2725
(319) 753-1084
Mailing address
1225 S GEAR AVE, STE 255, WEST BURLINGTON, IA 52655-1687
(319) 752-2725
(319) 753-1084

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
31549 / 34553
IA

Other

Enumeration date
08/29/2006
Last updated
02/24/2015
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