Individual
CORY WILLARD MEEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 279-0959
Mailing address
863 PALA MESA DR, KINGMAN, AZ 86409-3923
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
T9579
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
005510
AZ
Other
Enumeration date
01/12/2010
Last updated
10/28/2024
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