| Organization Name: | DALE R MYERS MD PC |
| NPI Number: | 1083893127 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE R MYERS (OWNER) |
| Mailing Address: | 1613 Stampede Ave Suite A Cody |
| State: | WY US |
| Postal Code: | 824144710 |
| Phone Number: | 3075871155 |
| Fax Number: | 3075871166 |
| NPI Enumeration Date: | 10/25/2007 |
| NPI Last Update Date: | 10/24/2011 |
| 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: | |