Individual
GARY R ENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00368
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100362
—
IA
01
—
030515
HEALTH ALLIANCE
—
01
—
235356
MIDLANDS CHOICE
—
01
—
34505
IOWA HEALTH SOLUTIONS
—
01
—
IA0145
JOHN DEERE HEALTH
—
Enumeration date
05/11/2006
Last updated
03/15/2013
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