Provider Demographics
NPI:1427099266
Name:OCCUPATIONAL HEALTH CENTER PC
Entity type:Organization
Organization Name:OCCUPATIONAL HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCIORROTTA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:515-288-2269
Mailing Address - Street 1:320 WATSON POWELL JR WAY
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1725
Mailing Address - Country:US
Mailing Address - Phone:515-288-2269
Mailing Address - Fax:515-288-2660
Practice Address - Street 1:320 WATSON POWELL JR WAY
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1725
Practice Address - Country:US
Practice Address - Phone:515-288-2269
Practice Address - Fax:515-288-2660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA016872083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Multi-Specialty