Individual
DR. STEPHANIE M MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
307 NOONAN DR, PACIFIC, MO 63069-1136
(636) 271-9100
(636) 257-6016
Mailing address
307 NOONAN DR, PACIFIC, MO 63069-1136
(636) 271-9100
(636) 257-6016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009001451
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215148341
—
MO
01
—
P00779628
RAILROAD MEDICARE
MO
Enumeration date
05/24/2007
Last updated
09/08/2014
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