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NPI Code Detail

MEDICARE: MEL R MEYER MD

MEDICARE: MEL R 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
1207P00000XEmergency Medicine Physician5543AWY

General Provider Information

NPI Number : 1578536884
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEL R MEYER MD
Provider Business Mailing Address
First Line : PO BOX 1276
Second Line :
City : SALEM
State : UT
Zip : 84653-1276
Country : US
Telephone Number : 801-423-3306
Fax Number : 801-423-3309
Provider Business Practice Location Address
First Line : 1320 BISHOP RANDALL DR
Second Line :
City : LANDER
State : WY
Zip : 82520-3939
Country : US
Telephone Number : 307-265-4010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 08/30/2013

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Directions to “ MEL R MEYER MD” Practice Location

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