Organization
OTTUMWA ER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L. PAGE (VICE PRESIDENT)
(615) 844-9849
Entity
Organization
Contact information
Practice address
1001 PENNSYLVANIA AVENUE, OTTUMWA, IA 52501
(641) 682-7511
Mailing address
1801 NW 66TH AVE, SUITE 200-A, PLANTATION, FL 33313-4571
(954) 377-2380
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
02/10/2014
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