Healthcare Provider Details

I. General information

NPI: 1881823326
Provider Name (Legal Business Name): MEREDITH LEIGH PRENGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEREDITH LEIGH BARFIELD

II. Dates (important events)

Enumeration Date: 07/06/2009
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 LOONEY RD STE 101
PIQUA OH
45356-4199
US

IV. Provider business mailing address

280 LOONEY RD STE 101
PIQUA OH
45356-4199
US

V. Phone/Fax

Practice location:
  • Phone: 937-440-8687
  • Fax: 937-773-8058
Mailing address:
  • Phone: 937-440-8687
  • Fax: 937-773-8058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.098379
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: