Organization
ROY A DOORENBOS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY A DOORENBOS MD (OWNER/PROVIDER)
(641) 236-2500
Entity
Organization
Contact information
Practice address
210 4TH AVE, GRINNELL, IA 50112-0780
(641) 236-2500
(641) 236-2539
Mailing address
PO BOX 780, GRINNELL, IA 50112-0780
(641) 236-2500
(641) 236-2539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25226
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294322
—
IA
05
—
6037523
—
IA
Enumeration date
08/28/2006
Last updated
10/12/2007
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