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1659369353
MARK P ILTIS
DURANT, IA
NPI
1659369353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 27823)
Enumeration Date
2005-10-07
Last Update Date
2021-05-27
Business Address
MARK P ILTIS MD
619 5TH STREET
DURANT, IA 52747
Phone number: 563-785-4487
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Mailing Address
MARK P ILTIS MD
865 LINCOLN RD STE L10
BETTENDORF, IA 52722-4190
Phone number: 563-355-9191
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