Organization
IOWA ENT & SINUS SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GRACE FELLERS (BUSINESS MANAGER)
(515) 576-3100
Entity
Organization
Contact information
Practice address
804 KENYON RD, SUITE F, FORT DODGE, IA 50501-5742
(515) 576-3100
(515) 576-3104
Mailing address
804 KENYON RD, SUITE F, FORT DODGE, IA 50501-5742
(515) 576-3100
(515) 576-3104
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
26089
IA
Other
Enumeration date
05/05/2008
Last updated
08/08/2011
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