Organization
DUBUQUE ENT HEAD & NECK SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JAMES BENDA JR. M.D. (PARTNER)
(563) 588-0506
Entity
Organization
Contact information
Practice address
535 CEDAR CROSS ROAD, DUBUQUE, IA 52003-7704
(563) 588-0506
(563) 588-0451
Mailing address
535 CEDAR CROSS ROAD, DUBUQUE, IA 52003-7704
(563) 588-0506
(563) 588-0451
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070276
—
IA
01
—
07027
WELLMARK BCBS IA
IA
01
—
547049
DEAN HEALTH PLAN
IA
Enumeration date
11/10/2005
Last updated
07/31/2019
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