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NPI Code Detail

MEDICARE: MELISSA AYN MEYER M.D.

MEDICARE: MELISSA AYN MEYER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD00048156WA

General Provider Information

NPI Number : 1083691059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA AYN MEYER M.D.
Provider Business Mailing Address
First Line : 1141 BEACH DR E
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-4937
Country : US
Telephone Number : 360-895-4680
Fax Number : 360-895-4709
Provider Business Practice Location Address
First Line : 1141 BEACH DR E
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-4937
Country : US
Telephone Number : 360-895-4680
Fax Number : 360-895-4709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 03/29/2013

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Directions to “ MELISSA AYN MEYER M.D.” Practice Location

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