Healthcare Provider Details

I. General information

NPI: 1417082736
Provider Name (Legal Business Name): DONNA ANN MEYER M.D./AP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DONNA ANN MCDONALD

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 HIGH ST STE 1
WASHINGTON MO
63090-4396
US

IV. Provider business mailing address

1380 HIGH ST STE 1
WASHINGTON MO
63090-4396
US

V. Phone/Fax

Practice location:
  • Phone: 573-271-2927
  • Fax: 573-271-2928
Mailing address:
  • Phone: 573-271-2927
  • Fax: 573-271-2928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2018023351
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: