Provider Demographics
NPI:1770076820
Name:METEER, SCOTT ALLEN (DO)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:ALLEN
Last Name:METEER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4282 E 50TH ST APT 4303
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-4789
Mailing Address - Country:US
Mailing Address - Phone:191-666-0214
Mailing Address - Fax:
Practice Address - Street 1:50 FARENHOLT AVE
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3106
Practice Address - Country:US
Practice Address - Phone:671-344-9202
Practice Address - Fax:671-344-9209
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102205810207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine