MEDICARE: MEREDITH CHRISTINE WORKMAN 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
1	208200000X	Plastic Surgery Physician	46382	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1578603916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH CHRISTINE WORKMAN MD

Provider Business Mailing Address
First Line	:	1432 S DOBSON RD STE 401
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-4777
Country	:	US
Telephone Number	:	480-658-0123
Fax Number	:	480-383-6429

Provider Business Practice Location Address
First Line	:	1432 S DOBSON RD STE 401
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-4777
Country	:	US
Telephone Number	:	480-658-0123
Fax Number	:	480-383-6429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	11/07/2018

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