person
Mary Leroy Khowassah, MD
General Practice Physician in Iowa City, Iowa
NPI 1740276096

Mary Leroy Khowassah is a General Practice Physician based in Iowa City, IA. Mary Leroy Khowassah practices in Iowa City, IA and has the professional credentials of MD. The NPI Number for Mary Leroy Khowassah is 1740276096 and holds a License No. 17924 (Iowa).

The current practice location address for Mary Leroy Khowassah is 4189 Westlawn S, Iowa City, IA and can be reached out via phone at 319-335-8370 and via fax at 319-335-7247. You can also correspond with Mary Leroy Khowassah through the mailing address at 4189 WESTLAWN S, IOWA CITY, IA - 52242-1100 (mailing address contact number: 319-335-8370).

Location: 4189 Westlawn S, Iowa City, IA, 52242-1100
person
Provider Profile Details
NPI Number
1740276096
Provider Name
Mary Leroy Khowassah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4189 Westlawn S, Iowa City, IA, 52242-1100
Phone Number
319-335-8370
Fax Number
319-335-7247
Provider Enumeration Date
09/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08972 01 IA WELLMARK BCBS
0089722 05 IA
institution
Provider Business Practice Location Address Details
Address
4189 Westlawn S
City
State
Zip
52242-1100
Phone Number
319-335-8370
Fax Number
319-335-7247
person
Provider Business Mailing Address Details
Address
4189 Westlawn S
City
State
Zip
52242-1100
Phone Number
319-335-8370
Fax Number
319-335-7247
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
17924 (Iowa)
Definition
Definition to come...
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