MEDICARE: DR. CHRISTOPHER M MEYER M.D.

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
1	207Q00000X	Family Medicine Physician	20674	OK

Other Identifiers

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

General Provider Information

NPI Number	:	1831144658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER M MEYER M.D.

Provider Business Mailing Address
First Line	:	4401 W MEMORIAL RD
Second Line	:	SUITE 140
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1785
Country	:	US
Telephone Number	:	405-752-3162
Fax Number	:	405-936-5211

Provider Business Practice Location Address
First Line	:	530 N MONTE VISTA ST
Second Line	:
City	:	ADA
State	:	OK
Zip	:	74820-4612
Country	:	US
Telephone Number	:	580-310-9510
Fax Number	:	580-436-4447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	05/20/2014

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