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Organization
PEDIATRIC ASSOCIATES OF OTTUMWA, P.C.
Active
Organization
PEDIATRIC ASSOCIATES OF OTTUMWA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA K MILLER MD (DR./PROVIDER/OWNER)
(641) 682-5451
Entity
Organization
Contact information
Practice address
921 PENNSYLVANIA AVE, OTTUMWA, IA 52501
(641) 682-5451
(641) 682-0511
Mailing address
921 PENNSYLVANIA AVE, OTTUMWA, IA 52501
(641) 682-5451
(641) 682-0511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23196
IA
208000000X
Pediatrics Physician
28019
IA
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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