Lewis Meyerson, Md | |
104 Sarah Ann Blvd Troy MO 63379-2038 | |
(636) 528-5281 | |
(636) 462-2637 |
Full Name | Lewis Meyerson, Md |
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Speciality | Family Medicine |
Location | 104 Sarah Ann Blvd, Troy, Missouri |
Authorized Official Name and Position | Lewis Aaron Meyerson (OWNER) |
Authorized Official Contact | 6365285281 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lewis Meyerson, Md 104 Sarah Ann Blvd Troy MO 63379-2038 Ph: (636) 528-5281 | Lewis Meyerson, Md 104 Sarah Ann Blvd Troy MO 63379-2038 Ph: (636) 528-5281 |
NPI Number | 1154512614 |
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Provider Enumeration Date | 08/08/2007 |
Last Update Date | 01/16/2008 |
Identifier | Type | State | Issuer |
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1154512614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 106340 (Missouri) | Primary |
207Q00000X | Family Medicine | 2002021114 (Missouri) | Secondary |