| Mark Panther, CRNA | |
|
5445 Avenue O, Fort Madison, IA 52627-9611 | |
| (319) 372-6530 | |
| Not Available |
| Full Name | Mark Panther |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5445 Avenue O, Fort Madison, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730157223 | NPI | - | NPPES |
| 49303 | Other | IA | BLUE CROSS OF IA |
| 1190207 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 059546 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Panther, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Mark Panther, CRNA 5445 Avenue O, Fort Madison, IA 52627-9611 Ph: (319) 372-6530 |
Steve Knight, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5445 Avenue O, Fort Madison, IA 52627 Phone: 319-372-6530 | |
Mr. Bryon Sobczak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5445 Avenue O, Fort Madison, IA 52627 Phone: 319-376-2047 Fax: 319-376-2043 |