Individual
TIFFANY K GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LGC
Contact information
Practice address
200 HAWKINS DR, 11196P PFP, IOWA CITY, IA 52242-1007
(319) 353-7242
(319) 384-7055
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-8405
(319) 356-7009
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GC-0034
IOWA BOARD OF MEDICINE
IA
Enumeration date
03/26/2009
Last updated
12/06/2019
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