Individual
MR. MARK C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4884
(319) 356-1530
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4884
(319) 356-1530
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35416
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437947
—
IA
01
—
20294
WELLMARCK BCBS
IA
Enumeration date
08/15/2005
Last updated
04/10/2008
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