# TOLOSA OB GYN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790721603
- **Authorized official:** BOBBY TOLOSA MD, FACOG (PRESIDENT)
- **Authorized official phone:** (712) 388-2670

## Contact information

- **Practice address:** 800 MERCY DR, SUITE 5, COUNCIL BLUFFS, IA 51503-3128
- **Practice address phone:** (712) 388-2670
- **Mailing address:** 800 MERCY DR, SUITE 5, COUNCIL BLUFFS, IA 51503-3128
- **Mailing address phone:** (712) 388-2670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 32336 | IA | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 01/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0788521 | — | IA |
| 05 | — | 10025323300 | — | NE |