Individual
MR. DONALD RAY MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT-B
Contact information
Practice address
2281 BUFORD STREET, CENTERVILLE, MO 63633
(573) 663-7628
Mailing address
2281 BUFORD STREET, CENTERVILLE, MO 63633
(573) 663-7628
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
1790001
MO
146N00000X
Basic Emergency Medical Technician
179001
MO
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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