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Organization

HARBANS DEOL DO PHD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARBANS S DEOL DO (PRESIDENT)
(641) 919-7650
Entity
Organization

Contact information

Practice address
600 N MAIN ST, BURLINGTON, IA 52601-5012
(641) 472-9191
Mailing address
902 S MAIN ST, FAIRFIELD, IA 52556-3839
(641) 472-9191

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02999
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15712
BLUE CROSS BLUE SHIELD IA
IA
05
2266536
IA
05
9134106
IA
Enumeration date
10/19/2006
Last updated
08/22/2020
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