Organization
THOMAS G JUHL OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GEORGE JUHL OD (OWNER)
(641) 664-2324
Entity
Organization
Contact information
Practice address
505 W JEFFERSON ST, BLOOMFIELD, IA 52537-1515
(641) 664-2325
(641) 664-3433
Mailing address
505 W JEFFERSON ST, PO BOX 319, BLOOMFIELD, IA 52537-1515
(641) 664-2325
(641) 664-3433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1621
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165845
—
IA
Enumeration date
06/07/2008
Last updated
06/07/2008
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