| Organization Name: | UNDERWOOD FAMILY PRACTICE |
| NPI Number: | 1902935554 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICK W OGG (ADMINISTRAROR) |
| Mailing Address: | 401 Highway St Underwood |
| State: | IA US |
| Postal Code: | 515760218 |
| Phone Number: | 7125669148 |
| Fax Number: | 7125669408 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A-082459 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |