Provider Demographics
NPI:1487620894
Name:ARNOLD, CHRISTINE STREBECK (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:STREBECK
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S BURR ST
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-4550
Mailing Address - Country:US
Mailing Address - Phone:605-292-0695
Mailing Address - Fax:605-292-0699
Practice Address - Street 1:1200 S BURR ST
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-4550
Practice Address - Country:US
Practice Address - Phone:605-292-0695
Practice Address - Fax:605-292-0699
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5271208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6701720Medicaid
SD6701720Medicaid