Organization
DECATUR MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E EASTER D.O. (VICE PRESIDENT)
(641) 784-3371
Entity
Organization
Contact information
Practice address
802 ACKERLY ST, LAMONI, IA 50140-1544
(641) 784-3371
(641) 784-6162
Mailing address
802 ACKERLY ST, LAMONI, IA 50140-1544
(641) 784-3371
(641) 784-6162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02206
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200261
—
IA
Enumeration date
03/14/2006
Last updated
08/22/2020
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