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Individual

ADA I ORTIZ-BIANCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
201 RIDGE ST, #307, COUNCIL BLUFFS, IA 51503-4643
(712) 329-5700
(712) 329-5759
Mailing address
201 RIDGE ST, #307, COUNCIL BLUFFS, IA 51503-4643
(712) 329-5700
(712) 329-5759

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23300
NE
207V00000X
Obstetrics & Gynecology Physician
Primary
36181
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0591883
IA
01
06286
WELLMARK-ATLANTIC
01
0701233
SHARE ADV. - RIDGE ST.
IA
01
0701234
SHARE ADV - CENTER
NE
01
0701235
SHARE ADV - LAKESIDE
NE
01
0701236
SHARE ADV - 24TH ST.
NE
01
0701382
SHARE ADV - MERCY
IA
01
07268
BCBSN
05
10025407200
NE
05
1591883
IA
05
2591883
IA
01
39342
WELLMARK-201 RIDGE
05
42150546516
NE
05
42150546517
NE
05
42150546518
NE
05
42150546520
NE
05
4591883
IA
Enumeration date
08/31/2006
Last updated
07/09/2007
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