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1831146042
MARK S. SHOCKLEY
WATERLOO, IA
NPI
1831146042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IA 34175)
Enumeration Date
2006-05-31
Last Update Date
2007-07-17
Business Address
Dr. MARK S. SHOCKLEY M.D.
2710 SAINT FRANCIS DR SUITE 410
WATERLOO, IA 50702-5619
Phone number: 319-272-5000
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Mailing Address
Dr. MARK S. SHOCKLEY M.D.
2101 KIMBALL AVE LL14
WATERLOO, IA 50702-5063
Phone number: 319-272-1590
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