Deffer, Philip Augustus

Deffer, Philip Augustus is an individual health care provider with primary practice located at 1200 1St Ave E Ste C, Spencer IA 51301-4342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Deffer, Philip Augustus can be contacted via phone (712) 262-7511.

Contact Information

Primary practice address
1200 1St Ave E Ste C Spencer IA 51301-4342
Fax: (712) 262-3658
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 31115 Iowa

Profile Details

NPI number 1356344261
LBN Legal business name Deffer, Philip Augustus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 2nd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356344261 NPPES
Iowa MEDICAID 0142083

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