Individual
DR. SAMUEL MEARL MEDARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 W PINE ST, FARMINGTON, MO 63640-1439
(573) 756-8888
(573) 701-9547
Mailing address
1010 OLD DES PERES RD, DES PERES, MO 63131-1865
(314) 729-0077
(314) 729-0101
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2020000124
MO
207Y00000X
Otolaryngology Physician
23454
NE
207Y00000X
Otolaryngology Physician
40298
IA
Other
Enumeration date
11/13/2006
Last updated
03/17/2025
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