Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK P MAGENNIS, PAC
ActiveMARK P MAGENNIS, PAC is a Physician Assistant healthcare provider located in EAGLE GROVE, Iowa. NPI 1114998572 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EAGLE GROVE, IA
Registration Details
- NPI Number
- 1114998572
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2006 (20.505416152953 yrs)
- Last Updated
- Sep 25, 2007
- License
-
000816 (IA)
Practice Information
- Address
-
115 S PARK AVEEAGLE GROVE, IA, 505332219Browse IA providers · Browse ZIP 50533
- Phone
- 5154485185
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.