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TOLOSA OB GYN PC NPI 1790721603


NPI Information

NPI: 1790721603
Provider Name: TOLOSA OB GYN PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
800 MERCY DR
SUITE 5
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 388-2670
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TOLOSA OB GYN PC is an obstetrics gynecology in Council Bluffs, IA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. TOLOSA OB GYN PC NPI is 1790721603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 MERCY DR
SUITE 5
COUNCIL BLUFFS, IA
ZIP 51503-128
Phone: (712) 388-2670

The provider's authorized official is Bobby Tolosa .
The authorized official title is President and has the following contact phone number (712) 388-2670.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 1/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology32336IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I16688MEDICARE ID-TYPE UNSPECIFIEDIOWA
2G66825MEDICARE UPINIOWA
30788521MEDICAIDIOWA
410025323300MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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