Individual
DR. ALAN WILLIAM MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-1661
(573) 302-1719
Mailing address
5151 HIGHWAY 54 STE F, PO BOX 840, OSAGE BEACH, MO 65065-3285
(573) 302-1661
(573) 302-1719
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MDR7P54
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
MDR7P54
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207739707
—
MO
05
—
207739723
—
MO
Enumeration date
02/15/2006
Last updated
06/15/2010
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