Ottumwa Mental Wellness Center

NPI 1235410697 - Physician Assistant - 363A00000X

NPI Details
NPI 1235410697
Enumeration Date 08/30/2011
Last Updated 07/05/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MELISSA N MELISSA
Position OWNER
Phone (641) 684-7744
Fax (641) 684-7700
Practice Location
801 N QUINCY AVE
OTTUMWA IA, 52501-3869, US
Phone (641) 684-7744
Fax (641) 684-7700
Business Location
801 N QUINCY AVE STE 4
OTTUMWA IA, 52501-3869, US
Phone (641) 684-7744
Fax (641) 684-7700
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Ottumwa Mental Wellness Center NPI is 1235410697, taxonomy code is 363A00000X Ottumwa Mental Wellness Center physically located at 801 N Quincy Ave, Ottumwa IA, 52501-3869. NPI Number 1033115704 has the healthcare provider type.

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1235410697 NPI number is provided on an as is basis without warranty of any kind. 1235410697 is maintained by the National Plan & Provider Enumeration System. The contents of Ottumwa Mental Wellness Center are for informational purposes only.