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NPI Code Detail

MEDICARE: DR. MARK DORIAN LO GALBO DO, MPH

MEDICARE: DR. MARK DORIAN LO GALBO DO, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology PhysicianR-13702IA

General Provider Information

NPI Number : 1962206961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK DORIAN LO GALBO DO, MPH
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-384-6135
Fax Number :
Provider Business Practice Location Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 315-464-5240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2025
Last Update Date : 02/06/2026

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