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Individual

PAUL FRANCIS OSTBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C.

Contact information

Practice address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188
Mailing address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01355
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70665
WELLMARK BLUE CROSS
IA
Enumeration date
08/15/2005
Last updated
12/11/2007
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