Individual
DR. MARK E EASTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
802 ACKERLY ST, LAMONI, IA 50140-1544
(641) 784-3371
(641) 784-6162
Mailing address
802 ACKERLY ST, LAMONI, IA 50140-1544
(641) 784-3371
(641) 784-6162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02206
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3041657
—
IA
Enumeration date
03/16/2006
Last updated
07/08/2007
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