Individual
JERRY L. MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 S MAIN ST, CONCORDIA, MO 64020-8335
(660) 463-7966
(660) 463-7729
Mailing address
PO BOX 759, CONCORDIA, MO 64020-0759
(660) 463-7966
(660) 463-7729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32834
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203628706
—
MO
Enumeration date
01/19/2006
Last updated
01/18/2010
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