Organization
OTTUMWA MENTAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA N GENTRY P.A-C (OWNER)
(641) 684-7744
Entity
Organization
Contact information
Practice address
801 N QUINCY AVE, OTTUMWA, IA 52501-3869
(641) 684-7744
(641) 684-7700
Mailing address
801 N QUINCY AVE STE 4, OTTUMWA, IA 52501-3869
(641) 684-7744
(641) 684-7700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IA
Other
Enumeration date
08/30/2011
Last updated
07/05/2013
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