MEDICARE: ROBERT J MEYER DO

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	56074-21	WI
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	010080	AZ
3	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	56074-21	WI
4	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	U8395	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61180	OTHER	WI	DEAN HEALTH INSURANCE

General Provider Information

NPI Number	:	1871750638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J MEYER DO

Provider Business Mailing Address
First Line	:	20401 N 73RD ST STE 255
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4147
Country	:	US
Telephone Number	:	480-323-1880
Fax Number	:	480-905-1136

Provider Business Practice Location Address
First Line	:	20401 N 73RD ST STE 255
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4147
Country	:	US
Telephone Number	:	480-323-1880
Fax Number	:	480-905-1136

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

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	12/10/2025

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Directions to “ ROBERT J MEYER DO” Practice Location

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