Individual
CHRISTOPHER J MEOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
35800 BOB HOPE DR, INTERVENTIONAL RADIOLOGY AND IMAGING CENTER, SUITE 150, RANCHO MIRAGE, CA 92270-1739
(760) 770-1920
(760) 324-0848
Mailing address
35800 BOB HOPE DR, INTERVENTIONAL RADIOLOGY AND IMAGING CENTER, SUITE 150, RANCHO MIRAGE, CA 92270-1739
(760) 770-1920
(760) 324-0848
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A 10654
CA
2085R0202X
Diagnostic Radiology Physician
34435
MO
2085R0204X
Vascular & Interventional Radiology Physician
20A 10654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016850B
—
OK
05
—
100230830B
—
KS
01
—
117809
MO BLUE
—
01
—
223318
HEALTHLINK
—
05
—
240912071
—
MO
Enumeration date
06/20/2006
Last updated
02/11/2015
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