Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | R-10213 | IA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 44817 | IA |
NPI | 1396125894 |
---|---|
Provider Name | Sarah Mechem |
First Address | Mason City, IA 50401-2932 |
Second Address | Mason City, IA 50401-2800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2015 |
Last Update Date | 20/04/2021 |