Basic Information
Provider Information
NPI: 1346557238
EntityType: 2
ReplacementNPI:  
OrganizationName: LEIF E. MEYERS, M.D., P.C.
LastName:  
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Credential:  
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Mailing Information
Address1: PO BOX 11840
Address2:  
City: WESTMINSTER
State: CA
PostalCode: 926851840
CountryCode: US
TelephoneNumber: 5624680227
FaxNumber:  
Practice Location
Address1: 1460 G ST
Address2:  
City: SPRINGFIELD
State: OR
PostalCode: 974774112
CountryCode: US
TelephoneNumber: 5417264400
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/13/2010
LastUpdateDate: 09/13/2010
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: MEYERS
AuthorizedOfficialFirstName: LEIF
AuthorizedOfficialMiddleName: E
AuthorizedOfficialTitleorPosition: MD
AuthorizedOfficialTelephone: 5417264400
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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