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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