Individual
BILL ROBERT MEREDITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2216 E 32ND ST, STE. 202, JOPLIN, MO 64804-3016
(417) 782-2020
(417) 782-7861
Mailing address
2216 E 32ND ST, STE. 202, JOPLIN, MO 64804-3016
(417) 782-2020
(417) 782-7861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R7952
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257110A
—
KS
05
—
200024008
—
MO
Enumeration date
08/10/2006
Last updated
10/13/2010
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