Individual
MEREDITH LEIGH FISHBANE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1130 S SCOTT BLVD, UICMS SOUTHEAST CLINIC - GENERAL PEDIATRICS, IOWA CITY, IA 52240-2907
(319) 467-6789
Mailing address
1130 S SCOTT BLVD, UICMS SOUTHEAST CLINIC - GENERAL PEDIATRICS, IOWA CITY, IA 52240-2907
(319) 467-6789
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
231765
MA
208000000X
Pediatrics Physician
Primary
MD-41814
IA
208000000X
Pediatrics Physician
MD429411
PA
Other
Enumeration date
05/19/2007
Last updated
04/08/2015
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