Individual
STEPHEN LEE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 S MAIN ST, JOPLIN, MO 64801-2305
(417) 782-2190
(417) 782-6750
Mailing address
113 S MAIN ST, JOPLIN, MO 64801-2305
(417) 782-2190
(417) 782-6750
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
119652
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062770B
—
OK
05
—
100348210B
—
KS
05
—
100348210D
—
KS
01
—
128615
MO BCBS
—
05
—
204710610
—
MO
Enumeration date
03/02/2006
Last updated
12/12/2012
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