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Individual

MARK ALLEN MEADORS

Active
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Individual

MARK ALLEN MEADORS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
116170
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146746
HEALTH ALLIANCE
MO
01
1962593731
IL MCD
MO
05
245312509
MO
01
567604
BCBS
MO
01
901284
HEALTHLINK
MO
01
P00607763
RR MCR
MO
Enumeration date
09/27/2006
Last updated
03/01/2021
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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