Organization
MERCY MEDICAL SERVICES
Active
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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