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Individual

DR. DAVID ELLIOTT DE BRUIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036132363
IL
2085R0202X
Diagnostic Radiology Physician
4301103333
MI
2085R0202X
Diagnostic Radiology Physician
R-9341
IA

Other

Enumeration date
06/24/2007
Last updated
06/26/2013
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