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Organization
MERCY MEDICAL SERVICES
Active
Organization
MERCY MEDICAL SERVICES
Active
Other names
MercyOne Siouxland Internal Medicine Care
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CLARK (PRESIDENT)
(712) 279-2018
Entity
Organization
Contact information
Practice address
801 5TH ST, SUITE 201, SIOUX CITY, IA 51101-1326
(712) 279-2400
(712) 279-5883
Mailing address
PO BOX 328, SIOUX CITY, IA 51102-0328
(712) 279-5830
(712) 279-5843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/12/2008
Last updated
12/07/2023
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