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Dr P O Swanson Od PC

Optometrist in Ottumwa, IA. Organization (NPI-2).

NPI number1720146277
StatusActive
Last updated in NPPESMay 26, 2009

Details

NPI
1720146277
Entity type
Organization (NPI-2)
Legal business name
Dr P O Swanson Od PC
Organization subpart
No
Enumeration date
Dec 5, 2006
Last updated
May 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1734IAYes

Practice location

333 Church
Ottumwa, IA 52501

Phone 641-684-4695 · Fax 641-684-7201

Mailing address

333 Church
Ottumwa, IA 52501

Phone 641-684-4695 · Fax 641-684-7201

Authorized official

Robert Lee Blew
Pres
6416844695

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