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Organization · Otolaryngology Physician · Sioux City, IA

NPI
1063636470
Type
Organization (Type 2)
Primary specialty
Otolaryngology Physician (Otolaryngology)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207Y00000X
License number
34004 (IA)
Enumerated
2007-04-13
Last updated
2007-08-09
Practice location
2916 Hamilton Blvd, Lower C Suite 103
Sioux City, IA 51104-2429
(712) 252-1201

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