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Organization
MERCY PHYSICIAN ASSOCIATES, INC
Active
Organization
MERCY PHYSICIAN ASSOCIATES, INC
Active
Other names
Mercycare Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY CHARLES (PRESIDENT AND CEO)
(319) 398-6697
Entity
Organization
Contact information
Practice address
5264 COUNCIL ST NE, SUITE 800, CEDAR RAPIDS, IA 52402-2471
(319) 398-6711
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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