Individual
PAUL S QUENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 PENNSYLVANIA AVE, STE 101, OTTUMWA, IA 52501
(641) 682-8700
(641) 683-8266
Mailing address
312 E ALTA VISTA, ORHC CLINICS, OTTUMWA, IA 52501
(641) 684-3053
(641) 683-2855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24503
FL
207RG0100X
Gastroenterology Physician
36932
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0733451
—
IA
01
—
27841
BCBS
IA
01
—
P00348492
RMCRE RAILROAD MEDICARE
IA
Enumeration date
06/17/2006
Last updated
10/24/2007
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