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State University Of Iowa
Hematology & Oncology Physician in Ottumwa, Iowa
NPI 1417905746

State University Of Iowa is a Hematology & Oncology Physician based in Iowa City, IA and is specialized in Hematology & Oncology. State University Of Iowa practices in Ottumwa, IA. The NPI Number for State University Of Iowa is 1417905746 and holds a License No. (Iowa).

The current practice location address for State University Of Iowa is 1003 Pennsylvania Ave, Ottumwa, IA and can be reached out via phone at 641-682-2514 and via fax at 641-226-5024.

Location: 1003 Pennsylvania Ave, Ottumwa, IA, 52242-1007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417905746
Provider Name
State University Of Iowa
Credential
Provider Entity Type
Organization
Address
1003 Pennsylvania Ave, Ottumwa, IA, 52242-1007
Phone Number
641-682-2514
Fax Number
641-226-5024
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG9853 01 IA RR MEDICARE
0191536 05 IA
institution
Provider Business Practice Location Address Details
Address
1003 Pennsylvania Ave
City
Ottumwa
State
Iowa
Zip
52501-2108
Phone Number
641-682-2514
Fax Number
641-226-5024
person
Provider Business Mailing Address Details
Address
1003 Pennsylvania Ave
City
Ottumwa
State
Iowa
Zip
52501-2108
Phone Number
641-682-2514
Fax Number
641-226-5024
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
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Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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