Individual
LARISSA MARIE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7205 SOUTH POWER ROAD, SUITE 101, QUEEN CREEK, AZ 85242
(480) 728-6000
(480) 728-6900
Mailing address
2302 E CHOLLA ST, PHOENIX, AZ 85028-1709
(602) 376-5568
(480) 728-6900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29644
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635500
—
AZ
Enumeration date
06/07/2006
Last updated
07/08/2007
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