Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 7806295-1205 | UT |
N | 207YP0228X | Pediatric Otolaryngology | 7806295-1205 | UT |
NPI | 1225012610 |
---|---|
Provider Name | Dr. Jeremy Meier |
First Address | Salt Lake City, UT 84141-3035 |
Second Address | Salt Lake City, UT 84113-1103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 22/11/2021 |