Individual
PEDRO OLAP ATIENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W QUARRY ST, MAQUOKETA, IA 52060-2125
(563) 652-5145
(563) 652-3674
Mailing address
611 W QUARRY ST, MAQUOKETA, IA 52060-2125
(563) 652-5145
(563) 652-3674
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19214
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1204586
—
IA
01
—
204586
BCBS - NOT OFFICE I.D.
IA
Enumeration date
01/25/2006
Last updated
03/07/2023
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