Individual
JUSTIN MAVERICK THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4500
(563) 584-4525
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4500
(563) 584-4525
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D179738
IA
Other
Enumeration date
05/02/2022
Last updated
07/22/2024
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