Organization
AUDIOLOGICAL SERVICES OF IOWA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SHAFFER LEONARD (PRESIDENT)
(712) 243-5796
Entity
Organization
Contact information
Practice address
601 POPLAR ST, ATLANTIC, IA 50022-1448
(712) 243-5796
Mailing address
601 POPLAR ST, ATLANTIC, IA 50022-1448
(712) 243-5796
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00473
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421206
—
IA
Enumeration date
03/09/2011
Last updated
03/09/2011
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