Ottumwa Er LLC

NPI #1588900880 in Ottumwa, Iowa

Provider Information

NPI Number: 1588900880
Entity Type: Organization
Organization Name: Ottumwa Er LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 14, 2012
Last Updated: Feb 10, 2014

Practice Location

Address: 1001 PENNSYLVANIA AVENUE
City: Ottumwa
State: Iowa
ZIP Code: 52501
Phone: (641) 682-7511

Authorized Official

Name: STEPHEN L. PAGE
Title: VICE PRESIDENT
Phone: (615) 844-9849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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