NPI | 1780278242 |
---|---|
Doing Business As | MERCYONE NORTH IOWA ANESTHESIA PROFESSIONAL SERVICES |
Entity Type | Organization |
Authorized Contact | MARIAH A BALLANTYNE Manager, Provider Enrollment 641-428-3086 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Enumeration Date | 2021-02-25 |
Last Update Date | 2021-04-01 |