Organization
M. R. ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C RANDALL M. D. (PHYSICIAN)
(319) 364-0121
Entity
Organization
Contact information
Practice address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
(319) 364-5684
Mailing address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
(319) 364-5684
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202820
—
IA
Enumeration date
06/28/2005
Last updated
07/21/2022
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