Provider Demographics
NPI:1942658919
Name:DRYDEN, MEREDITH K (MD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:K
Last Name:DRYDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:K
Other - Last Name:STEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1215 DUFF AVENUE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010
Mailing Address - Country:US
Mailing Address - Phone:712-792-1500
Mailing Address - Fax:712-792-7597
Practice Address - Street 1:1214 SOUTH GRANT ROAD
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401
Practice Address - Country:US
Practice Address - Phone:712-792-1500
Practice Address - Fax:712-792-7597
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7659207Q00000X
IA45626207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine