| Doctor Name: | JEFFREY MEADE |
| NPI Number: | 1629332564 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01073118A |
| Business Practice Address: | 7219 N Litchfield Rd 56 Medical Group Luke Afb, AZ - 853091529 |
| Business Phone Number: | 6238567527 |
| Business Fax Number: | |
| Mailing Address: | 7219 N Litchfield Rd, 56 Medical Group LUKE AFB |
| State: | AZ |
| Postal Code: | 853091529 |
| Phone Number: | 6238567527 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2012 |
| NPI Last Update Date: | 09/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01073118A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |