Individual
MEREDITH DIERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2093 NW 80TH CT, CLIVE, IA 50325-5613
(515) 253-0277
Mailing address
2093 NW 80TH CT, CLIVE, IA 50325-5613
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2015
Last updated
04/11/2015
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