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Organization
MERCY PHYSICIAN ASSOCIATES INC
Active
Organization
MERCY PHYSICIAN ASSOCIATES INC
Active
Other names
MercyCare Central City
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CHARLES (PRESIDENT AND CEO)
(319) 398-6697
Entity
Organization
Contact information
Practice address
4659 HIGHWAY 13, CENTRAL CITY, IA 52214-9804
(319) 438-1046
(319) 438-1048
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
(319) 438-1046
(319) 438-1048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
07/08/2016
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