Organization
SIOUXLAND ADULT MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK O CARLSON M.D. (INTERNAL MEDICINE)
(712) 234-1005
Entity
Organization
Contact information
Practice address
2800 PIERCE ST, SUITE 410, SIOUX CITY, IA 51104-3755
(712) 234-1005
Mailing address
2800 PIERCE ST, SUITE 410, SIOUX CITY, IA 51104-3755
(712) 234-1005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
127854
IA
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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