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Organization

PHILIP W. MEYER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP W MEYER MD (PRESIDENT)
(712) 322-0253
Entity
Organization

Contact information

Practice address
201 RIDGE ST, SUITE 314, COUNCIL BLUFFS, IA 51503-4643
(712) 322-0253
(712) 322-5273
Mailing address
4905 S 107TH AVE, OMAHA, NE 68127-1965
(402) 393-9459
(402) 397-9895

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20597
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0140277
IA
01
14027
BCBS IA PROVIDER #
IA
Enumeration date
11/01/2006
Last updated
08/22/2020
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