# OTTUMWA OBSTETRICS AND GYNECOLOGY, P.C.

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

## Provider details

- **NPI number:** 1811959042
- **Authorized official:** TED VINCENT HAAS MD (PRESIDENT)
- **Authorized official phone:** (641) 682-8761

## Contact information

- **Practice address:** 1005 PENNSYLVANIA, SUITE 204, OTTUMWA, IA 52501-2195
- **Practice address phone:** (641) 682-8761
- **Practice address fax:** (641) 682-2764
- **Mailing address:** 1005 PENNSYLVANIA, SUITE 204, OTTUMWA, IA 52501-2195
- **Mailing address phone:** (641) 682-8761
- **Mailing address fax:** (641) 682-2764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 07/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0096800 | — | IA |