NPI | 1508101221 |
---|---|
Doing Business As | OTTUMWA MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | ROBERT D. KROESE CEO 641-628-6604 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IA 630165H) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2022-12-06 |