Organization
MASON CITY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA YOUNG (ADMINISTRATOR)
(641) 494-5411
Entity
Organization
Contact information
Practice address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(800) 622-1411
(641) 494-5403
Mailing address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(800) 622-1411
(641) 494-5403
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
213E00000X
Podiatrist
—
—
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118075
—
IA
Enumeration date
06/16/2006
Last updated
07/15/2020
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