Individual
DR. JOHN GARY MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5715 48TH ST W, UNIVERSITY PLACE, WA 98467-3677
(360) 281-5774
(253) 565-0658
Mailing address
5715 48TH ST W, UNIVERSITY PLACE, WA 98467-3677
(360) 281-5774
(253) 565-0658
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
00017394
WA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
00017394
WA
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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