Individual
JOHN M JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 KENYON RD, FORT DODGE, IA 50501
(515) 574-6840
(515) 576-7726
Mailing address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 574-6840
(515) 576-7726
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
33855
IA
207RI0011X
Interventional Cardiology Physician
Primary
MD-33855
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223305
—
IA
Enumeration date
11/16/2005
Last updated
06/27/2018
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