Christine Mitchell , PA-C
Physician Assistant • Waterloo, IA
4006 Johnathan St Ste B
Waterloo, IA 507019395
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Christine Mitchell is listed in NPPES under Physician Assistant.
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NPI assigned on July 12, 2017; this date does not establish years in practice.
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Published CMS data list 27,710 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J0897 — Injection, denosumab, 1 mg: 17,040 service units.
- J3111 — Injection, romosozumab-aqqg, 1 mg: 9,030 service units.
- 77080 — Dxa bone density measurement of hip, pelvis, spine: 735 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 266 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tymlos (Abaloparatide) — 90 prescription fills, including refills.
- Alendronate Sodium — 87 prescription fills, including refills.
- Teriparatide — 34 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 6 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 22 clinicians with data). Median for this group: 287. Middle half: 171 to 771.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: 298. Middle half: 123 to 703.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 99 in 2020 to 27,710 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4006 Johnathan St Ste B
Waterloo, IA 507019395
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Cedar Valley Medical Specialists Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
484 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $606,967 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $478,843 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
479 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$323,063 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $717.31 across 16 records.
By nature of payment
- Consulting Fee: $425.00 across 1 record.
- Food and Beverage: $292.31 across 15 records.
Reporting-company totals (3 largest of 11)
- AstraZeneca Pharmaceuticals LP: $466.77 across 4 records.
- Almatica Pharma LLC: $60.50 across 2 records.
- Radius Health, Inc.: $42.21 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Christine Mitchell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Christine Mitchell as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Waterloo and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 22 clinicians with data). Median for this group: 287. Middle half: 171 to 771.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: 298. Middle half: 123 to 703.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 22 clinicians with data). Median for this group: $21,756. Middle half: $9,107 to $58,830.
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: $19,026. Middle half: $8,646 to $37,827.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 22 clinicians with data). Median for this group: $15,604. Middle half: $6,783 to $41,889.
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: $13,777. Middle half: $6,384 to $27,709.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Waterloo, IA (2024, 24 clinicians with data). Median for this group: 478. Middle half: 143 to 1,332.
Close to the middle for clinicians listed under Physician Assistant in Iowa (2024, 934 clinicians with data). Median for this group: 305. Middle half: 94 to 1,210.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 24 clinicians with data). Median for this group: $24,105. Middle half: $826 to $240,710.
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Iowa (2024, 934 clinicians with data). Median for this group: $4,784. Middle half: $711 to $109,573.
32 active clinicians are listed under Physician Assistant with a practice address in Waterloo, IA (1,525 in Iowa).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Waterloo
3.1% of these 32 clinicians have the CMS telehealth indicator.
62.5% of these 32 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 27890% from 99 in 2020 to 27,710 in 2024.
- 2020: 99
- 2021: 3,162
- 2022: 6,906
- 2023: 12,393
- 2024: 27,710
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Medicare-allowed amount
Medicare-allowed amount increased 10843% from $5,547 in 2020 to $606,967 in 2024.
- 2020: $5,547
- 2021: $75,705
- 2022: $166,560
- 2023: $312,817
- 2024: $606,967
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Paid by Medicare
Paid by Medicare increased 11788% from $4,028 in 2020 to $478,843 in 2024.
- 2020: $4,028
- 2021: $62,924
- 2022: $128,378
- 2023: $246,282
- 2024: $478,843
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 13% from 236 in 2020 to 266 in 2024.
- 2020: 236
- 2021: 68
- 2022: 104
- 2023: 204
- 2024: 266
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30-day fills
30-day fills increased 103% from 236 in 2020 to 479 in 2024.
- 2020: 236
- 2021: 68
- 2022: 197
- 2023: 352
- 2024: 479
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Part D drug cost
Part D drug cost increased 29431% from $1,094 in 2020 to $323,063 in 2024.
- 2020: $1,094
- 2021: $629
- 2022: $110,519
- 2023: $267,356
- 2024: $323,063
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $78.13 in 2021 to $717.31 in 2025.
- 2021: $78.13
- 2022: $390.27
- 2023: $358.68
- 2024: $529.77
- 2025: $717.31
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 16 records totaling $717.31.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Consulting Fee
Cash or cash equivalent
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STRENSIQ | General | $425.00 |
| Almatica Pharma LLC |
Food and Beverage
In-kind items and services
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TERIPARATIDE | General | $37.02 |
| Fresenius Kabi USA, LLC |
Food and Beverage
In-kind items and services
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Smoflipid | General | $29.34 |
| Radius Health, Inc. |
Food and Beverage
In-kind items and services
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— | General | $26.36 |
| Almatica Pharma LLC |
Food and Beverage
In-kind items and services
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TERIPARATIDE | General | $23.48 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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STRENSIQ | General | $20.92 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $19.52 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $18.95 |
| KYOWA KIRIN, INC. |
Food and Beverage
In-kind items and services
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CRYSVITA | General | $18.72 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $16.41 |
| Radius Health, Inc. |
Food and Beverage
In-kind items and services
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Tymlos | General | $15.85 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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STRENSIQ | General | $15.69 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Veozah | General | $15.44 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PREVNAR 20 | General | $14.78 |
| Almatica Pharma LLC |
Food and Beverage
In-kind items and services
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TERIPARATIDE | General | $14.67 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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STRENSIQ | General | $5.16 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J0897
Injection, denosumab, 1 mg
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17,040 | 221 | $27.00 | $25.54 |
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J3111
Injection, romosozumab-aqqg, 1 mg
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9,030 | 16 | $27.00 | $10.86 |
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77080
Dxa bone density measurement of hip, pelvis, spine
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735 | 375 | $162.32 | $16.74 |
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96372
Injection of drug or substance under skin or into muscle
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327 | 235 | $68.00 | $11.16 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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327 | 308 | $255.00 | $100.43 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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130 | 128 | $170.00 | $70.94 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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54 | 53 | $360.00 | $141.55 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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27 | 27 | $520.00 | $172.07 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
25 | 25 | $405.00 | $130.57 |
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36415
Insertion of needle into vein for collection of blood sample
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15 | 14 | $20.00 | $8.65 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tymlos | Abaloparatide | 90 | 2,700 | $236,503.77 | 14 |
| Alendronate Sodium | Alendronate Sodium | 87 | 6,369 | $593.69 | 32 |
| Teriparatide | Teriparatide | 34 | 974 | $83,987.40 | — |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 26 | 2,410 | $1,517.66 | 14 |
| Raloxifene Hcl | Raloxifene Hcl | 15 | 1,290 | $438.08 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 14 | 540 | $22.72 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-02-07NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20190913001902
IL
9234402157
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Cedar Valley Medical Specialists Pc
1753 W Ridgeway Ave, Waterloo, IA 507014588
Cedar Valley Medical Specialists Pc
4006 Johnathan St, Waterloo, IA 507019387
Phone: 3192331540
Cedar Valley Medical Specialists Pc
4006 Johnathan St, Waterloo, IA 507019387
Phone: 3192362700
Cedar Valley Medical Specialists Pc
1825 Logan Ave, Waterloo, IA 507031916
Phone: 3192353941
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4006 JOHNATHAN ST STE B, WATERLOO, IA 507019395 (Tel: 3192331540)
Registered at PO BOX 2758, WATERLOO, IA 507042758 (Tel: 3192355390)
Recorded as CHRISTINE MITCHELL, PA-C
NPI status registered as active in NPPES database
Registered at 3385 DEXTER CT STE 300, DAVENPORT, IA 528073471 (Tel: (563) 344-9292)
Registered at 3385 DEXTER CT STE 300, DAVENPORT, IA 528073471 (Tel: 5633449292)
Recorded as CHRISTINE BOYER, PA-C
Physician Assistant (license number reported to NPPES: IA 087919)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Waterloo
- Heidi Bonthuis, PA-C
- Jamie Foster, PA-C
- Steven Henning, PA-C
- Mary Heatley, PA-C
- Carolyn Steenhoek, PA-C
- Marek Rozek, PA-C
Mailing Address
Po Box 2758
Waterloo, IA 507042758
Phone: 3192355390