Individual
EDWARD BRIAN ORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1005 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6413
(641) 684-2927
(641) 684-2926
Mailing address
1005 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6413
(641) 684-2927
(641) 684-2926
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3557
IA
208C00000X
Colon & Rectal Surgery Physician
3557
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267864
—
IA
01
—
212484
IA HEALTH SOLUTIONS
IA
01
—
34520
WELLMARK INC BCBS OF IA
IA
01
—
420681060B5
JOHN DEERE HEALTH
IA
01
—
H005
TRIWEST
IA
01
—
P00052611
RAILROAD MEDICARE
IA
Enumeration date
09/20/2005
Last updated
01/09/2017
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