Organization
ENT HEARING AIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS W DVORAK MD (PHYSICIAN)
(563) 359-1646
Entity
Organization
Contact information
Practice address
3385 DEXTER CT, STE 101, DAVENPORT, IA 52807-3494
(563) 359-1646
(563) 344-6703
Mailing address
3385 DEXTER CT, STE 101, DAVENPORT, IA 52807-3494
(563) 359-1646
(563) 344-6703
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00593
IA
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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