Individual
DR. MARK L BICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2710 SAINT FRANCIS DR, SUITE 210, WATERLOO, IA 50702-5619
(319) 272-5000
(319) 272-5282
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01878
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2195693
—
IA
Enumeration date
06/09/2006
Last updated
07/13/2007
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