Individual
JOELLEN M. HOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 N 3RD ST, BURLINGTON, IA 52601-5227
(319) 753-1619
(319) 753-1170
Mailing address
515 N 3RD ST, BURLINGTON, IA 52601-5227
(319) 753-1619
(319) 753-1170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17292
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014787
—
IA
01
—
01478
BLUE SHIELD
IA
Enumeration date
01/11/2006
Last updated
12/13/2007
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