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Individual

DOUGLAS J MEEK

Active
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Individual

DOUGLAS J MEEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20020263
NM
2085R0202X
Diagnostic Radiology Physician
2005004442
MO
2085R0202X
Diagnostic Radiology Physician
36113010
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2258272
MEDICARE GROUP
NM
05
45138
NM
05
52713
NM
05
52752216
NM
01
600521002
MEDICARE IDTF
NM
01
700521102
MEDICARE GROUP
NM
05
76487563
NM
01
800521126
MEDICARE IDTF
NJ
05
L0634
NM
Enumeration date
05/17/2006
Last updated
09/19/2022
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