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Organization

UNDERWOOD FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICK OGG (ADMINISTRATOR)
(712) 566-9148
Entity
Organization

Contact information

Practice address
401 HIGHWAY ST, UNDERWOOD, IA 51576-5030
(712) 566-9148
(712) 566-9408
Mailing address
PO BOX 218, UNDERWOOD, IA 51576-0218
(712) 566-9148
(712) 566-9408

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-082459
IA

Other

Enumeration date
07/26/2006
Last updated
06/18/2008
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