Organization
NORTHWEST IOWA HOSPITAL CORPORATION
Active
Other names
St Lukes Clinic Network
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A JOHNSON (VICE PRESIDENT)
(712) 279-3934
Entity
Organization
Contact information
Practice address
2720 STONE PARK BLVD, ROOM 629, SIOUX CITY, IA 51104-3734
(712) 279-3380
(712) 279-7015
Mailing address
2720 STONE PARK BLVD, ROOM 629, SIOUX CITY, IA 51104-3734
(712) 279-3380
(712) 279-7015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/06/2006
Last updated
08/22/2020
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