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Organization

MERCY PHYSICIAN ASSOCIATES, INC

Active
Parent organization
MERCY PHYSICIAN ASSOCIATES, INC
Other names
Mercycare Psychiatry
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY PHYSICIAN ASSOCIATES, INC
Authorized official
MR. TIM CHARLES (PRESIDENT AND CEO)
(319) 398-6697
Entity
Organization

Contact information

Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 369-4798
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
06/29/2007
Last updated
09/16/2014
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