Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 23735 | IA |
NPI | 1023010618 |
---|---|
Provider Name | Dr. Norman Rush Hutchison |
First Address | Ottumwa, IA 52501-6413 |
Second Address | Ottumwa, IA 52501-6413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2205203 | (05) | IA |
AO2214 | (02) | IA |