Individual
VICTOR OGOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-5836
(712) 794-5155
Mailing address
211 PLUM DR, AUSTIN, AR 72007-9714
(480) 626-3421
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D169096
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2022
Last updated
06/10/2022
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