| Doctor Name: | DR. DALE R MYERS |
| NPI Number: | 1053312827 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 7160A |
| Business Practice Address: | 721 Sheridan Ave Suite 220 Cody, WY - 824143423 |
| Business Phone Number: | 3075871155 |
| Business Fax Number: | 3075871166 |
| Mailing Address: | 721 Sheridan Ave, Suite 220 CODY |
| State: | WY |
| Postal Code: | 824143423 |
| Phone Number: | 3075871155 |
| Fax Number: | 3075871166 |
| NPI Enumeration Date: | 08/03/2005 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 7160A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |