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NPI Code Detail

MEDICARE: CHRISTINA GOEBEL MD

MEDICARE:   CHRISTINA  GOEBEL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician37450IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760469589
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA GOEBEL MD
Provider Business Mailing Address
First Line : 5409 AVE O
Second Line : SUITE126
City : FORT MADISON
State : IA
Zip : 52627-9601
Country : US
Telephone Number : 319-372-5925
Fax Number : 319-372-1381
Provider Business Practice Location Address
First Line : 5409 AVE O
Second Line : SUITE126
City : FORT MADISON
State : IA
Zip : 52627-9601
Country : US
Telephone Number : 319-372-5925
Fax Number : 319-372-1381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 10/30/2007

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Directions to “ CHRISTINA GOEBEL MD” Practice Location

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