Organization
TRIMARK PHYSICIANS GROUP INC
Active
Parent organization
TRIMARK PHYSICIANS GROUP INC
Other names
The Norma Schmoker Womens Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIMARK PHYSICIANS GROUP INC
Authorized official
MICHAEL J DEWERFF (CFO)
(515) 574-6603
Entity
Organization
Contact information
Practice address
625 L ST, FORT DODGE, IA 50501-5706
(515) 574-3015
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3905
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0470773
—
IA
Enumeration date
12/23/2005
Last updated
12/23/2010
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