Individual
JOSEPH M MEYSTRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
304A E 4TH ST, ELDON, MO 65026-1808
(573) 392-5654
Mailing address
306 BUSCH RD, JEFFERSON CITY, MO 65101-8479
(417) 818-5184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013003461
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420002737
—
MO
01
—
431560263
TRICARE
MO
01
—
P01173069
RR MCR
MO
Enumeration date
02/01/2013
Last updated
08/02/2024
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