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Organization
MERCY PHYSICIAN ASSOCIATES,INC.
Active
Organization
MERCY PHYSICIAN ASSOCIATES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDD KIPPER (DIRECTOR)
(319) 369-4505
Entity
Organization
Contact information
Practice address
610 8TH ST SE, CEDAR RAPIDS, IA 52401-2143
(319) 369-4505
(319) 369-4677
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
(319) 369-4505
(319) 369-4677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
Other
Enumeration date
05/05/2006
Last updated
03/17/2008
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