Ent Professional Services, Pc in Davenport - Specialist
Ent Professional Services, Pc - NPI 1457499758
Ent Professional Services, Pc is a Specialist in Davenport, Iowa. Ent Professional Services, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ent Professional Services, Pc is 1457499758. The last update date is 2012-11-21.
Ent Professional Services, Pc's current location address is 3385 Dexter Ct, Davenport, Iowa. You can contact this provider via phone number 5633591646 and fax number 5633446703. The mailing address for Ent Professional Services, Pc is 3385 Dexter Ct, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ent Professional Services, Pc |
|---|---|
| Address | 3385 Dexter Ct, Davenport, Iowa |
| Phone Number | 5633591646 |
| Fax Number | 5633446703 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dvorak W Douglas |
| Credentials | MD |
| Telephone Number | 5633591646 |
NPI Number Detail
| NPI Number | 1457499758 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2012-11-21 |
Provider Mailing Address Detail
| Address | 3385 Dexter Ct |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528073471 |
| Phone Number | 5633591646 |
| Fax Number | 5633446703 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ent Professional Services, Pc by the Centers for Medicare & Medicaid Services?
The Ent Professional Services, Pc has been issued the NPI (National Provider Identifier) 1457499758, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ent Professional Services, Pc is geographically located?
The Ent Professional Services, Pc is physically situated at the following location: 3385 Dexter Ct, Davenport, IA, 528073471.
What is Ent Professional Services, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ent Professional Services, Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date was the 1457499758 assigned to Ent Professional Services, Pc?
The Ent Professional Services, Pc was issued its 1457499758 on 2007-02-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ent Professional Services, Pc most recently updated or revised?
The details related to Ent Professional Services, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-21.