MEDICARE: SIOUXLAND OBSTETRICS & GYNECOLOGY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1134250939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIOUXLAND OBSTETRICS & GYNECOLOGY, P.C.

Provider Business Mailing Address
First Line	:	2730 PIERCE ST STE 201
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-3764
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 PIERCE ST STE 201
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-3764
Country	:	US
Telephone Number	:	712-277-3141
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. MELISSA N HOLTZ
Credential	:	MD
Telephone Number	:	712-277-3138

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	10/18/2022

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