Individual
CHARLES MARK RACE
Active
Individual
CHARLES MARK RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2009-0724
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425561
—
IA
01
—
1175
MIDLANDS
IA
01
—
35351
WELLMARK
IA
01
—
36167
WELLMARK
IA
05
—
9098947
—
IA
01
—
DC9737
RR MEDICARE
IA
01
—
F244880
MIDLANDS
IA
01
—
P00041350
RR MEDICARE
IA
Enumeration date
05/23/2006
Last updated
01/11/2017
Update your record
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