| Dr Douglas W Dvorak, MD | |
|
3385 Dexter Ct, Ste 101, Davenport, IA 52807-3471 | |
| (563) 359-1646 | |
| (563) 344-6703 |
| Full Name | Dr Douglas W Dvorak |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 3385 Dexter Ct, Davenport, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346229762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 28701 (Iowa) | Primary |
| Entity Name | Ent Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457499758 PECOS PAC ID: 8426949298 Enrollment ID: O20040322001255 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas W Dvorak, MD 3385 Dexter Ct, Ste 101, Davenport, IA 52807-3471 Ph: (563) 359-1646 | Dr Douglas W Dvorak, MD 3385 Dexter Ct, Ste 101, Davenport, IA 52807-3471 Ph: (563) 359-1646 |
Gordon Ray Johnson, D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3906 Lillie Ave., Suite 1, Davenport, IA 52806 Phone: 563-391-3309 Fax: 563-391-3630 | |
Ralph R Tyner, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3385 Dexter Ct, Ste 101, Davenport, IA 52807 Phone: 563-359-1646 | |
Ryan James Krogmann, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct, Davenport, IA 52807 Phone: 330-971-7207 | |
Jay Burmeister, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct Ste 101, Davenport, IA 52807 Phone: 563-359-1646 | |
Michael S Tomek, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct, Ste 101, Davenport, IA 52807 Phone: 563-359-1646 Fax: 563-344-6703 |