Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | M-7760 | ID |
N | 207Q00000X | Family Doctor | MD22881 | OR |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 44229 | IA |
NPI | 1467453274 |
---|---|
Provider Name | Curtis Gedney |
First Address | Mason City, IA 50401-5489 |
Second Address | Mason City, IA 50401-2800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 20/02/2019 |