NPI | 1922114792 |
---|---|
Doing Business As | MERCYONE FOREST PARK FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MARK C TRAMMEL VP Finance 641-428-7984 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-08-22 |
Last Update Date | 2024-10-18 |