Individual
SCOTT R MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 NW 86TH ST, STE 100, JOHNSTON, IA 50131-2284
(515) 276-6133
(515) 334-7356
Mailing address
5900 NW 86TH ST, STE 100, JOHNSTON, IA 50131-2284
(515) 276-6133
(515) 334-7356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33974
IA
207Q00000X
Family Medicine Physician
44941
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366433310
—
IA
01
—
P01329973
RR MEDICARE
IA
Enumeration date
10/31/2005
Last updated
08/19/2014
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