NPI 1023788734

Darrell Dewayne Meador

Practitioner Home Modifications Contractor Advance, MO

Practice location

Address: 612 W Sturdivant St, Advance, MO 63730-8065
Phone: (573) 321-0113

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X

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Registry record

NPI: 1023788734
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2021
Record last updated: 14 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.