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Individual

SIMON E. MEYKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
640 QUANTUM RD NE, RIO RANCHO, NM 87124-4506
(505) 924-0209
(505) 924-0210
Mailing address
640 QUANTUM RD NE, RIO RANCHO, NM 87124-4506
(505) 924-0209
(505) 924-0210

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A-1945-16
NM
390200000X
Student in an Organized Health Care Education/Training Program
OT014140
PA

Other

Enumeration date
05/23/2011
Last updated
12/07/2016
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