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 AVE, OTTUMWA, IA 52501-6427
(641) 684-2402
(641) 684-2401
Mailing address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 684-2402
(641) 684-2401
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
02/10/2014
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