Organization
MERCY PHYSICIAN ASSOCIATES, INC
Active
Other names
Mercycare Prarie Creek Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CHARLES (PRESIDENT AND CEO)
(319) 329-6697
Entity
Organization
Contact information
Practice address
777 76TH AVE DR SW, CEDAR RAPIDS, IA 52404
(319) 558-0352
(319) 558-0353
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
(319) 558-0352
(319) 558-0353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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