Organization
ENT CLINIC OF IOWA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R HOISINGTON D.O. (OWNER OF ENT CLINIC OF IA)
(515) 267-1800
Entity
Organization
Contact information
Practice address
2600 WESTOWN PKWY STE 360, WEST DES MOINES, IA 50266-7306
(515) 267-1800
(515) 267-8857
Mailing address
2600 WESTOWN PKWY STE 360, WEST DES MOINES, IA 50266-7306
(515) 267-1800
(515) 267-8857
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
208D00000X
General Practice Physician
—
—
231H00000X
Audiologist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190967
—
IA
01
—
49532
BCBS GROUP NUMBER
IA
Enumeration date
05/17/2006
Last updated
08/24/2020
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