Individual
MARK ALAN HAVRAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2808 SHERRY LN, URBANDALE, IA 50322-4243
(515) 334-0086
(515) 334-0086
Mailing address
2808 SHERRY LN, URBANDALE, IA 50322-4243
(515) 334-0086
(515) 334-0086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02275
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283028
—
IA
Enumeration date
04/26/2006
Last updated
07/08/2007
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