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Individual

ROYANN C MRAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3062
(319) 356-8284
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3062
(319) 356-8284

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29338
IA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD-29338
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12466
WELLMARK BCBS
IA
05
3099614
IA
Enumeration date
09/22/2005
Last updated
06/08/2015
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