Individual
JASON T OHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MERCY DR, SUITE 110, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5350
(712) 328-5354
Mailing address
800 MERCY DR, SUITE 110, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5350
(712) 328-5354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26933
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2274787
—
IA
Enumeration date
09/03/2006
Last updated
01/29/2008
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