Trimark Physicians Group

NPI #1265701783 in Fort Dodge, Iowa

Provider Information

NPI Number
1265701783
Entity Type
Organization
Organization Name
Trimark Physicians Group
Subpart
Yes (part of a larger organization)
Parent Organization
TRIMARK PHYSICIANS GROUP
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Dec 29, 2011
Last Updated
Mar 22, 2012

Practice Location

Address
625 L ST
State
Iowa
ZIP Code
50501-5706
Phone
(515) 574-6015

Authorized Official

Name
MICHAEL J. DEWERFF
Title
CFO
Phone
(515) 574-6603

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Radiology, MammographyRadiology, Mammography
Clinic/Center - RadiologyRadiology

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