Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 2021026154 | MO |
NPI | 1891177150 |
---|---|
Provider Name | Dr. Zachary I Meyer |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63129-0003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2015 |
Last Update Date | 03/01/2022 |