GREGORY WAYNE TITUS , ARNP in OTTUMWA - NPI - 1306830070
GREGORY WAYNE TITUS is a dentist based out of OTTUMWA,Iowa GREGORY practices in OTTUMWA,Iowa and has the professional credentials of ARNP .The NPI Number for GREGORY WAYNE TITUS is 1306830070 and he holds a Licence No. 90162(Iowa).
GREGORY current practice location address is 931 PENNSYLVANIA AVE,,OTTUMWA,Iowa and he can be reached out via phone at 6416843000 and via fax at6416842469. You can also correspond with GREGORY WAYNE TITUS through mail at his mailing address at931 PENNSYLVANIA AVE,,OTTUMWA,Iowa – 525012138 (mailing address contact number – 525012138).
Provider Profile Details
NPI Number | 1306830070 |
Provider Name | GREGORY WAYNE TITUS |
ARNP | |
Gender | 39371 |
Provider Entity Type | Individual |
Provider Enumeration Date | 163W00000X |
Last Update Date | 38603 |
Provider Business Mailing Address Details
Address | 931 PENNSYLVANIA AVE, |
City | OTTUMWA |
State | Iowa |
Zip | 525012138 |
Phone Number | 6416843000 |
Provider Business Practice Location Address Details
Address | 931 PENNSYLVANIA AVE, |
City | OTTUMWA |
State | Iowa |
Zip | 525012138 |
Phone Number | 6416843000 |
Provider's Primary Taxonomy Details
Taxonomy | 163W00000X |
License No. | 90162 |
State | Iowa |