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Individual
COLLEEN J MERIWETHER
Active
Individual
COLLEEN J MERIWETHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1488
WV
208800000X
Urology Physician
1488
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055146000
—
WV
Enumeration date
09/23/2005
Last updated
12/18/2017
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