Individual
OTAVIO AUGUSTO HEGOUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 WATERFRONT DR, IOWA CITY, IA 52240-4414
(319) 354-7121
(319) 354-7025
Mailing address
1720 WATERFRONT DR, IOWA CITY, IA 52240-4414
(319) 354-7121
(319) 354-7025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20688
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11555
—
IA
Enumeration date
03/02/2020
Last updated
03/02/2020
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