# NORTHWEST IOWA EAR NOSE AND THROAT, PC

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

## Provider details

- **NPI number:** 1558533265
- **Authorized official:** MR. DANIEL L JORGENSEN MD (PRESIDENT/OWNER)
- **Authorized official phone:** (712) 262-8120

## Contact information

- **Practice address:** 920 GRAND AVE, SPENCER, IA 51301-3641
- **Practice address phone:** (712) 262-8120
- **Practice address fax:** (712) 262-7028
- **Mailing address:** PO BOX 1194, SPENCER, IA 51301-1194
- **Mailing address phone:** (712) 262-8120
- **Mailing address fax:** (712) 262-7028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 21909 | IA | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 07/27/2016
