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1255327565
RALEIGH GREEN HUMPHRIES
CORALVILLE, IA
NPI
1255327565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IA MD-39882)
Additional Taxonomies
208800000X Urology
(Licence: NC 32117)
Enumeration Date
2005-09-22
Last Update Date
2020-12-14
Business Address
RALEIGH GREEN HUMPHRIES MD
105 E 9TH ST
CORALVILLE, IA 52241-2209
Phone number: 319-467-2000
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Mailing Address
RALEIGH GREEN HUMPHRIES MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-467-2000
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