Individual
TIMOTHY J CROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 422-7000
Mailing address
1410 6TH ST SW, MASON CITY, IA 50401-4818
(641) 424-6704
(641) 424-6709
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23843
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028985
—
IA
01
—
12415
BLUE CROSS
IA
Enumeration date
05/31/2006
Last updated
07/08/2007
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