Organization · Type 2 NPI

Trimark Physicians Group Inc

Diagnostic Radiology Physician · Fort Dodge, IA

NPI number 1376869826 Active

Practice location

802 Kenyon Rd
Fort Dodge, IA 50501-5740

Fax (515) 573-8710

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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NPI record

NPI: 1376869826
Entity type: Organization (Type 2)
Issued: Apr 8, 2010
Last updated: Dec 23, 2010
Status: Active
Subpart: Yes of Trimark Physicians Group Inc

Other names

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Trimark Radiology · doing business as

Authorized official

Michael J Dewerff
Chief Financial Officer
(515) 574-6603

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376869826

Trimark Physicians Group Inc's National Provider Identifier is 1376869826, issued on Apr 8, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Dodge, IA. The record was last updated on Dec 23, 2010.