Individual
DR. JEFFREY MARK MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9702 STONESTREET RD STE 100, LOUISVILLE, KY 40272-6809
(502) 588-0610
(502) 588-0611
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45371
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100211480
—
KY
Enumeration date
06/24/2009
Last updated
10/26/2020
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