Ottawa University

NPI #1346751351 in Surprize, Arizona

Provider Information

NPI Number: 1346751351
Entity Type: Organization
Organization Name: Ottawa University
Primary Specialty: General Practice
Enumeration Date: Oct 17, 2017
Last Updated: Oct 17, 2017

Practice Location

Address: 15950 N. CIV CENTER PLAZA
City: Surprize
State: Arizona
ZIP Code: 85374
Phone: (972) 367-4845

Authorized Official

Name: MOUZON BASS III
Title: AGENT
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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