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1336121938
MARK G BERRY
FORT DODGE, IA
NPI
1336121938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IA 03552)
Enumeration Date
2005-11-18
Last Update Date
2015-07-29
Business Address
-- MARK G BERRY D.O.
800 KENYON RD
FORT DODGE, IA 50501-5776
Phone number: 515-574-6840
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Mailing Address
-- MARK G BERRY D.O.
800 KENYON RD
FORT DODGE, IA 50501-5776
Phone number: 515-574-6840
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