Individual
ROGER ARTHUR OTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7313
(563) 584-3450
(563) 584-3171
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26102
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043265
—
IA
Enumeration date
05/20/2006
Last updated
11/25/2009
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