Provider Demographics
NPI:1568423531
Name:CHRIST, MEREDITH A (DO)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:A
Last Name:CHRIST
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5100 PRAIRIE PKWY
Mailing Address - Street 2:STE 301
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-8155
Mailing Address - Country:US
Mailing Address - Phone:319-277-1990
Mailing Address - Fax:319-222-2999
Practice Address - Street 1:5100 PRAIRIE PKWY
Practice Address - Street 2:STE 301
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-8155
Practice Address - Country:US
Practice Address - Phone:319-277-1990
Practice Address - Fax:319-222-2999
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2017-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAR7679207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP00708561OtherRR MEDICARE
IA1568423531Medicaid
IA2497081Medicaid
IA71926035Medicare PIN
IAI71599Medicare UPIN
IA2497081Medicaid