Individual
LARRY J. MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Mailing address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
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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