Individual
DR. CHRISTOPHER DAVID RADIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
330 N MAIN ST, POCAHONTAS, IA 50574-1626
(712) 335-3298
(712) 335-3262
Mailing address
330 N MAIN ST, POCAHONTAS, IA 50574-1626
(712) 335-3298
(712) 335-3262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02036
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113340
—
IA
01
—
0416820001
DMERC
—
01
—
0416820002
DMERC
—
01
—
0416820003
DMERC
—
05
—
1113340
—
IA
05
—
2113340
—
IA
01
—
410038847
MEDICARE- RAILROAD
—
Enumeration date
10/13/2005
Last updated
08/09/2010
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