Mark Alan Havran in Urbandale - Physical Therapist

Mark Alan Havran - NPI 1093772071

Mark Alan Havran is a Physical Therapist in Urbandale, Iowa. Mark Alan Havran practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mark Alan Havran is 1093772071. The last update date is 2007-07-08.

Mark Alan Havran's current location address is 2808 Sherry Ln, Urbandale, Iowa. You can contact this provider via phone number 5153340086 and fax number 5153340086. The mailing address for Mark Alan Havran is 2808 Sherry Ln, Urbandale, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Alan Havran
Address 2808 Sherry Ln, Urbandale, Iowa
Phone Number 5153340086
Fax Number 5153340086
Sole Proprietor X
Credentials DPT

NPI Number Detail

NPI Number 1093772071
Provider Enumeration Date 2006-04-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2808 Sherry Ln
City Urbandale
State Iowa (IA)
Post Code 503224243
Phone Number 5153340086
Fax Number 5153340086

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 2275
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
283028 IA --

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FAQs about Mark Alan Havran

What is the unique 10-digit identifier code issued to Mark Alan Havran by the Centers for Medicare & Medicaid Services?

The Mark Alan Havran has been assigned the NPI (National Provider Identifier) 1093772071 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Mark Alan Havran is geographically located?

The Mark Alan Havran is physically situated at the following location: 2808 Sherry Ln, Urbandale, IA, 503224243.

What is the Mark Alan Havran's specialty and taxonomy code?

The Mark Alan Havran's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date did the Mark Alan Havran receive the assignment of its 1093772071 from the Centers for Medicare & Medicaid Services?

The Mark Alan Havran was issued its 1093772071 by the Centers for Medicare & Medicaid Services on 2006-04-26.

When was the information related to Mark Alan Havran most recently updated or refreshed?

The details pertaining to the Mark Alan Havran, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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