Provider Demographics
NPI:1043253719
Name:CHRISTY, JOYCE L (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:L
Last Name:CHRISTY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6000 UNIVERSITY AVE
Mailing Address - Street 2:STE 140
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8203
Mailing Address - Country:US
Mailing Address - Phone:515-226-2122
Mailing Address - Fax:515-226-8506
Practice Address - Street 1:111 NW 9TH ST
Practice Address - Street 2:STE 5
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-1754
Practice Address - Country:US
Practice Address - Phone:515-963-8395
Practice Address - Fax:515-965-8801
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA23545207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA5011072Medicaid
IAA03551Medicare UPIN
IA5011072Medicaid