# BURLINGTON EAR NOSE & THROAT CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326157140
- **Authorized official:** MR. DOUGLAS EDWIN HENRICH M.D. (PHYSICIAN)
- **Authorized official phone:** (319) 752-2725

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 31549 / 34553 | IA | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 02/24/2015