Individual
RICHARD VOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 KENYON RD, SUITE 330, FORT DODGE, IA 50501-5742
(515) 574-6855
Mailing address
24 NORTH 9TH ST, SUITE A, FORT DODGE, IA 50501
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23499
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164514501
—
TX
01
—
200060460A
OKLAHOMA MEDICAID
OK
01
—
66457572
NEW MEXICO MEDICAID
NM
Enumeration date
07/07/2006
Last updated
12/22/2016
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