Individual
MARK VALLIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
947 14TH AVE. SE, COMMUNITY HEALTH FREE CLINIC, CEDAR RAPIDS, IA 52401
(319) 363-0416
(319) 363-5569
Mailing address
701 10TH ST. SE, CEDAR RAPIDS, IA 52403-9989
(319) 398-6440
(319) 398-6912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24547
IA
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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