Individual
MARK ALLEN MEADORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
211 SAINT FRANCIS DR, SUITE 372, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5525
(573) 331-5558
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
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
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