Organization
VIRDI EYE CLINIC OF IOWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVANEET S.C. BORISUTH (MD)
(563) 264-3414
Entity
Organization
Contact information
Practice address
1015 13TH AVE N, CLINTON, IA 52732-3479
(563) 219-8044
(563) 219-8027
Mailing address
315 PARHAM ST, SUITE A, MUSCATINE, IA 52761-2604
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39332
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270728
—
IA
Enumeration date
03/04/2011
Last updated
03/04/2011
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