# MATTHEW W MEIER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801084421
- **Authorized official:** MRS. TAMARA LYNN ROTH (OFICE MANAGER)
- **Authorized official phone:** (636) 294-5757

## Contact information

- **Practice address:** 1002 PERUQUE CROSSING CT, SUITE 102, O FALLON, MO 63366-2362
- **Practice address phone:** (636) 294-5757
- **Practice address fax:** (636) 294-5742
- **Mailing address:** 1002 PERUQUE CROSSING COURT, SUITE102, OFALLON, MO 63366-2362
- **Mailing address phone:** (636) 294-5757
- **Mailing address fax:** (636) 294-5742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | R9J58 | MO | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 11/29/2012