Iltis, Mark P

Iltis, Mark P is an individual health care provider with primary practice located at 619 5Th Street , Durant IA 52747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Iltis, Mark P can be contacted via phone (563) 785-4487.

Contact Information

Primary practice address
619 5Th Street Durant IA 52747
Phone: (563) 785-4487
Fax: (563) 785-6681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27823 Iowa

Profile Details

NPI number 1659369353
LBN Legal business name Iltis, Mark P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated May 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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