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Organization

IOWA MEDICAL & CLASSIFICATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARBANS DEOL DO (HEALTH SERVICES ADMINISTRATOR)
(319) 626-4278
Entity
Organization

Contact information

Practice address
2700 CORAL RIDGE AVE, CORALVILLE, IA 52241-4708
(319) 626-4437
(319) 665-6721
Mailing address
2700 CORAL RIDGE AVE, CORALVILLE, IA 52241-4708
(319) 626-4437
(319) 665-6721

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
18517
IA

Other

Enumeration date
09/03/2014
Last updated
09/03/2014
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