Individual
DR. EUGENE R PANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1225 S GEAR AVE, MERCY PLZ STE 156, W BURLINGTON, IA 52655-1691
(319) 752-2659
(319) 753-0856
Mailing address
1225 S GEAR AVE, MERCY PLZ STE 156, W BURLINGTON, IA 52655-1691
(319) 752-2659
(319) 753-0856
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6494
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117168
—
IA
Enumeration date
04/07/2006
Last updated
10/04/2007
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