Healthcare Provider Details

I. General information

NPI: 1720009111
Provider Name (Legal Business Name): GARY MEURER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 08/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 34TH ST
BAKERSFIELD CA
93301-2237
US

IV. Provider business mailing address

3200 21ST ST STE 301
BAKERSFIELD CA
93301-3108
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-1792
  • Fax:
Mailing address:
  • Phone: 661-334-1958
  • Fax: 661-324-4095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA63058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: