Organization
MERCY MEDICAL SERVICES
Active
Other names
Mercy Rehab and Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K. MONSMA (EXECUTIVE NETWORK DIRECTOR)
(712) 279-2925
Entity
Organization
Contact information
Practice address
801 5TH ST, SUITE 201, SIOUX CITY, IA 51101-1394
(712) 279-2925
(712) 279-5883
Mailing address
PO BOX 328, SIOUX CITY, IA 51102-0328
(712) 279-5830
(712) 279-5883
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421990
—
IA
Enumeration date
06/02/2006
Last updated
11/30/2007
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