Organization
TRIMARK PHYSICIANS GROUP INC
Active
Other names
Trimark Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J DEWERFF (CFO)
(515) 574-6603
Entity
Organization
Contact information
Practice address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 573-4141
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3909
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239764
—
IA
Enumeration date
12/20/2005
Last updated
11/26/2010
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