Individual
JOHN C JUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 N EISENHOWER AVE, MASON CITY, IA 50401-1525
(641) 422-7388
(641) 422-5755
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1474
(319) 356-3715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18486
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252577
—
IA
01
—
43730
WELLMARK BCBS
IA
Enumeration date
09/16/2005
Last updated
12/11/2007
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