Jill Van Otterloo, PA

NPI #1679980783 in Forest City, Iowa

Provider Information

NPI Number: 1679980783
Entity Type: Individual
Name: Jill Van Otterloo, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 21, 2014
Last Updated: Jul 21, 2014

Practice Location

Address: 635 E US HIGHWAY 9
City: Forest City
State: Iowa
ZIP Code: 50436-1028
Phone: (641) 585-2904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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