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NPI Code Detail

MEDICARE: GREGORY MEYER MD

MEDICARE: GREGORY MEYER MD
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 Physician18523AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922088251
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY MEYER MD
Provider Business Mailing Address
First Line : 5891 W EUGIE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85304-1252
Country : US
Telephone Number : 602-588-6600
Fax Number :
Provider Business Practice Location Address
First Line : 5891 W EUGIE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85304-1252
Country : US
Telephone Number : 602-588-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 12/29/2011

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