Individual
DR. DAVID T MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 ORCHARD DR, SISSETON, SD 57262-2312
(605) 698-7681
(605) 698-3493
Mailing address
205 ORCHARD DR, SISSETON, SD 57262-2312
(605) 698-7681
(605) 698-3493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49097
CO
207Q00000X
Family Medicine Physician
9701
SD
207Q00000X
Family Medicine Physician
A73320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92238360
—
CO
01
—
S110296
MEDICARE ID
SD
01
—
S110305CAH
PROVIDER TRANSACTION PROVIDER NUMBER
SD
Enumeration date
07/05/2006
Last updated
06/23/2016
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