Associated Internists Pc | |
804 Kenyon Rd Suite D Fort Dodge IA 50501-5742 | |
(515) 574-6141 | |
(515) 574-6145 |
Full Name | Associated Internists Pc |
---|---|
Speciality | Internal Medicine |
Location | 804 Kenyon Rd, Fort Dodge, Iowa |
Authorized Official Name and Position | Mark Marner (PRESIDENT) |
Authorized Official Contact | 5155746141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Associated Internists Pc 804 Kenyon Rd Suite D Fort Dodge IA 50501-5742 Ph: (515) 574-6141 | Associated Internists Pc 804 Kenyon Rd Suite D Fort Dodge IA 50501-5742 Ph: (515) 574-6141 |
NPI Number | 1467511782 |
---|---|
Provider Enumeration Date | 12/06/2006 |
Last Update Date | 03/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467511782 | NPI | - | NPPES |
0173674 | Medicaid | IA | |
17367 | Other | IA | BLUE CROSS BLUE SHIELD |
CP7467 | Other | IA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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