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Organization
ASSOCIATED INTERNISTS PC
Active
Organization
ASSOCIATED INTERNISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MARNER M.D. (PRESIDENT)
(515) 574-6141
Entity
Organization
Contact information
Practice address
804 KENYON RD, SUITE D, FORT DODGE, IA 50501-5742
(515) 574-6141
(515) 574-6145
Mailing address
804 KENYON RD, SUITE D, FORT DODGE, IA 50501-5742
(515) 574-6141
(515) 574-6145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173674
—
IA
01
—
17367
BLUE CROSS BLUE SHIELD
IA
01
—
CP7467
RR MEDICARE
IA
Enumeration date
12/06/2006
Last updated
03/13/2008
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