Organization
OTTUMWA OBSTETRICS AND GYNECOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED VINCENT HAAS MD (PRESIDENT)
(641) 682-8761
Entity
Organization
Contact information
Practice address
1005 PENNSYLVANIA, SUITE 204, OTTUMWA, IA 52501-2195
(641) 682-8761
(641) 682-2764
Mailing address
1005 PENNSYLVANIA, SUITE 204, OTTUMWA, IA 52501-2195
(641) 682-8761
(641) 682-2764
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096800
—
IA
Enumeration date
04/04/2006
Last updated
07/01/2010
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