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Individual

DR. JOHN W MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R9045
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112433
MO BLUE SHIELD
MO
05
149660001
AR
05
201888211
MO
01
95520
ARK BLUE SHIELD
AR
Enumeration date
02/15/2007
Last updated
05/07/2013
Update your record

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