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Organization

MASON CITY CLINIC PC

Active
Parent organization
MASON CITY CLINIC PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MASON CITY CLINIC PC
Authorized official
DANA R YOUNG (ADMINISTRATOR)
(641) 422-6509
Entity
Organization

Contact information

Practice address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 422-6620
Mailing address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 422-6620

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
10/03/2007
Last updated
04/03/2008
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