| Doctor Name: | MR. RANDALL SHANE MYERS |
| NPI Number: | 1033250212 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 13-D-1200 |
| Business Practice Address: | 21 S 9th St Duncan, OK - 735334909 |
| Business Phone Number: | 5804709490 |
| Business Fax Number: | 5804709502 |
| Mailing Address: | 21 S 9th St, DUNCAN |
| State: | OK |
| Postal Code: | 735334909 |
| Phone Number: | 5804709490 |
| Fax Number: | 5804709502 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 13-D-1200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |