Matthew  B  Meyer    DC
Contract Details
Facility name
Provider ID
P000004664
NPI
1487799938
Tax ID
208433814
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1707 Washington St
Davenport, IA 52804
United States
County
Scott
Phone
5633243817 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address