Healthcare Provider Details

I. General information

NPI: 1306371968
Provider Name (Legal Business Name): DIANA MEYLER M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 S GEAR AVE STE 101
WEST BURLINGTON IA
52655-1690
US

IV. Provider business mailing address

1221 S GEAR AVE
WEST BURLINGTON IA
52655-1679
US

V. Phone/Fax

Practice location:
  • Phone: 319-768-1520
  • Fax:
Mailing address:
  • Phone: 319-768-1520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number32901
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD57168
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: