Organization
OTTUMWA PSYCHIATRIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD RAY BERGES D.O. (PRESIDENT/MEDICAL DIRECTOR)
(641) 684-7744
Entity
Organization
Contact information
Practice address
1112 N VAN BUREN AVE, SUITE 2, OTTUMWA, IA 52501-6416
(641) 684-7744
(641) 684-7700
Mailing address
1112 N VAN BUREN AVE, SUITE 2, OTTUMWA, IA 52501-6416
(641) 684-7744
(641) 684-7700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02659
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2776088
—
IA
Enumeration date
08/24/2006
Last updated
08/22/2020
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