Individual
MR. DUANE RAY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-003152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070003152
—
IL
01
—
P00769838
RAILROAD MEDICARE
IL
Enumeration date
07/27/2006
Last updated
12/30/2009
Update your record
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