Organization
MERCY PHYSICIAN ASSOCIATES, INC
Active
Other names
Mercycare Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY CHARLES (PRESIDENT AND CEO)
(319) 398-6697
Entity
Organization
Contact information
Practice address
5264 COUNCIL ST NE, SUITE 800, CEDAR RAPIDS, IA 52402-2471
(319) 398-6711
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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