| Ottawa University | |
|
15950 N. Civ Center Plaza Surprize AZ 85374 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Ottawa University |
|---|---|
| Speciality | General Practice |
| Location | 15950 N. Civ Center Plaza, Surprize, Arizona |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottawa University 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: () - | Ottawa University 15950 N. Civ Center Plaza Surprize AZ 85374 Ph: (972) 367-4845 |
| NPI Number | 1346751351 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 10/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346751351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 31375 (Arizona) | Primary |