# FAMILY PHYSICIANS OF CEDAR RAPIDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285663849
- **Authorized official:** MARK J GOEDKEN MD (PRESIDENT)
- **Authorized official phone:** (319) 365-7581

## Contact information

- **Practice address:** 1515 42ND ST NE, CEDAR RAPIDS, IA 52402-3061
- **Practice address phone:** (319) 365-7581
- **Practice address fax:** (319) 365-0163
- **Mailing address:** 1515 42ND ST NE, CEDAR RAPIDS, IA 52402-3061
- **Mailing address phone:** (319) 365-7581
- **Mailing address fax:** (319) 365-0163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IA | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 06/23/2022