Individual
PHILIP WALTER MEYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 RIDGE ST, SUITE 314, COUNCIL BLUFFS, IA 51503-4643
(712) 322-0253
(712) 322-5273
Mailing address
201 RIDGE ST, SUITE 314, COUNCIL BLUFFS, IA 51503-4643
(712) 322-0253
(712) 322-5273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20597
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140277
—
IA
Enumeration date
09/21/2005
Last updated
07/08/2007
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