Organization
NORTHWEST IOWA EAR NOSE AND THROAT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL L JORGENSEN MD (PRESIDENT/OWNER)
(712) 262-8120
Entity
Organization
Contact information
Practice address
920 GRAND AVE, SPENCER, IA 51301-3641
(712) 262-8120
(712) 262-7028
Mailing address
PO BOX 1194, SPENCER, IA 51301-1194
(712) 262-8120
(712) 262-7028
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21909
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005553
—
IA
Enumeration date
04/02/2008
Last updated
07/27/2016
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