Organization
MERCY PHYSICIAN ASSOCIATES, INC
Active
Other names
Mercy Care Vernon Village
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE J STANTON (SR DIRECTOR)
(319) 369-4512
Entity
Organization
Contact information
Practice address
3933 MOUNT VERNON RD SE, CEDAR RAPIDS, IA 52403-3869
(319) 369-4798
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148098
—
IA
05
—
0792986
—
IA
Enumeration date
06/22/2007
Last updated
07/12/2016
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