Organization
CHAUTAUQUA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL DUANE ENGLAND M.D. (MEDICAL DOCTOR PSYCHIATRY)
(641) 472-7216
Entity
Organization
Contact information
Practice address
2709 W BRIGGS AVE STE 4, FAIRFIELD, IA 52556-2649
(641) 472-7216
(641) 209-6690
Mailing address
2709 W BRIGGS AVE STE 4, FAIRFIELD, IA 52556-2649
(641) 472-7216
(641) 209-6690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23126
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056978
—
IA
Enumeration date
12/20/2011
Last updated
06/07/2016
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