Organization
ENT HEARING SERVICES LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY ANNE JERDEE (OFFICE MANAGER)
(605) 217-4320
Entity
Organization
Contact information
Practice address
2730 PIERCE ST, SUITE 402, SIOUX CITY, IA 51104-3796
(605) 217-4320
(605) 217-4320
Mailing address
2730 PIERCE ST, SUITE 402, SIOUX CITY, IA 51104-3796
(605) 217-4320
(605) 217-4320
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34004
IA
Other
Enumeration date
06/01/2007
Last updated
03/11/2008
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