Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RODERIC DEAN GOTTULA, M.D.
Active Sole ProprietorDR. RODERIC DEAN GOTTULA, M.D. is a Family Medicine healthcare provider located in FORT DODGE, Iowa. NPI 1588789150 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT DODGE, IA
Registration Details
- NPI Number
- 1588789150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2007 (19.401355502327 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
29988 (CO)44546 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 KENYON RD STE QFORT DODGE, IA, 505015776Browse IA providers · Browse ZIP 50501
- Phone
- 5155748519
- Fax
- 5155748514
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FORT DODGE, IA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH WEBSTER STOEBE | D.O. | 1992780365 |
| DAVID L TAYLOR | DO | 1649250275 |
| ED DEHAAN | MD | 1891766440 |
| JOHN BIRKETT | MD | 1780655100 |
| MICHAEL W STITT | MD | 1407828759 |
| LINCOLN R WALLACE | MD | 1184696437 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.