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Individual

DAVID A HANKS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
715 HARMONY ST, COUNCIL BLUFFS, IA 51503-3147
(402) 552-2020
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2342
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0161992
IA
Enumeration date
11/17/2005
Last updated
07/08/2007
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