Individual
DR. PHILIP AUGUSTUS DEFFER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 1ST AVE E, STE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Mailing address
1200 1ST AVE E STE C, SPENCER, IA 51301-4342
(712) 264-9071
(712) 262-3658
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
31115
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142083
—
IA
Enumeration date
05/24/2005
Last updated
08/02/2007
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