Organization Name: | RILEY F UGLUM, OD PC |
NPI Number: | 1013188564 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RILEY F UGLUM (PRESIDENT) |
Mailing Address: | 8 E Spring St New Hampton |
State: | IA US |
Postal Code: | 506592132 |
Phone Number: | 6413942326 |
Fax Number: | 6413942211 |
NPI Enumeration Date: | 03/12/2008 |
NPI Last Update Date: | 09/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1631 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |