Individual
MR. ROBERT JAMES DEGOOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NBC HIS
Contact information
Practice address
607 SOUTH CARROLL STREET, PARK RAPIDS, IA 51246-0243
(712) 472-3698
(712) 472-3698
Mailing address
607 SOUTH CARROLL STREET, P O BOX 243, PARK RAPIDS, IA 51246-0243
(712) 472-3698
(712) 472-3698
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035121
—
IA
Enumeration date
12/15/2006
Last updated
07/08/2007
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