Organization
OTTUMWA NEUROLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC E HINES M.D. (PRESIDENT/CEO)
(641) 682-4978
Entity
Organization
Contact information
Practice address
1313 N COURT ST, SUITE B, OTTUMWA, IA 52501-1911
(641) 682-4978
(641) 682-0722
Mailing address
1313 N COURT ST, SUITE B, OTTUMWA, IA 52501-1911
(641) 682-4978
(641) 682-0722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
IA
2084N0400X
Neurology Physician
—
IA
363L00000X
Nurse Practitioner
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421826
—
IA
Enumeration date
05/20/2006
Last updated
09/11/2025
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