Organization
ENT PROFESSIONAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS W DVORAK MD (PRESIDENT)
(563) 359-1646
Entity
Organization
Contact information
Practice address
3385 DEXTER CT, SUITE 101, DAVENPORT, IA 52807-3471
(563) 359-1646
(563) 344-6703
Mailing address
3385 DEXTER CT, SUITE 101, DAVENPORT, IA 52807-3471
(563) 359-1646
(563) 344-6703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
11/21/2012
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