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Individual

LARRY J. MEYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19387
MS
367H00000X
Anesthesiologist Assistant
C-6923
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09851064
MS
05
111182001
AR
01
5M969
BCBS
AR
Enumeration date
01/21/2006
Last updated
09/11/2008
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