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Individual
FRED H MEYER
Active
Individual
FRED H MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
21258
NE
207RR0500X
Rheumatology Physician
Primary
25100
CO
207RR0500X
Rheumatology Physician
3714A
WY
Other
Enumeration date
09/27/2006
Last updated
02/07/2008
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