Organization
MERCY MEDICAL CENTER
Active
Other names
Center for Fit Families
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CHARLES (CEO)
(319) 398-6133
Entity
Organization
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 861-7696
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
(319) 369-4505
(319) 369-4677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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