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Organization

ASSOCIATED INTERNISTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK MARNER M.D. (PRESIDENT)
(515) 574-6141
Entity
Organization

Contact information

Practice address
804 KENYON RD, SUITE D, FORT DODGE, IA 50501-5742
(515) 574-6141
(515) 574-6145
Mailing address
804 KENYON RD, SUITE D, FORT DODGE, IA 50501-5742
(515) 574-6141
(515) 574-6145

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0173674
IA
01
17367
BLUE CROSS BLUE SHIELD
IA
01
CP7467
RR MEDICARE
IA
Enumeration date
12/06/2006
Last updated
03/13/2008
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