ENT PROFESSIONAL SERVICES PC NPI 1457499758

NPI Information

ENT PROFESSIONAL SERVICES, PC is a specialist in Davenport, IA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ENT PROFESSIONAL SERVICES, PC NPI is 1457499758. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3385 DEXTER CT
SUITE 101
DAVENPORT, IA
ZIP 52807-471
Phone: (563) 359-1646
Fax: (563) 344-6703

The provider's authorized official is Douglas W Dvorak .
The authorized official title is President and has the following contact phone number (563) 359-1646.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 11/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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