Individual
DR. MARK A MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8000
Mailing address
PO BOX 150569, ARLINGTON, TX 76015-6569
(682) 276-6100
(682) 276-6199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35453
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442335
—
IA
05
—
34601300
—
WI
01
—
37345
WELLMARK BCBS
—
01
—
511752
IOWA HEALTH SOLUTIONS
—
Enumeration date
06/22/2006
Last updated
04/12/2019
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