Organization
MERCY PHYSICIAN ASSOCIATES, INC
Active
Other names
Internist Associates of Iowa
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE J STANTON (SR DIRECTOR)
(319) 369-4512
Entity
Organization
Contact information
Practice address
543 7TH STREET SE, CEDAR RAPIDS, IA 52401
(319) 369-4798
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0792366
—
IA
05
—
0792374
—
IA
Enumeration date
06/26/2007
Last updated
02/01/2011
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