| Doctor Name: | GARY DEAN MYERS |
| NPI Number: | 1457584344 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 13260 |
| Business Practice Address: | 3601 Sw 160th Ave Suite 250 Miramar, FL - 330276308 |
| Business Phone Number: | 8778667123 |
| Business Fax Number: | |
| Mailing Address: | 1401 W Locust St, Suite 102 STILWELL |
| State: | OK |
| Postal Code: | 749603275 |
| Phone Number: | 9186964065 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2009 |
| NPI Last Update Date: | 04/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13260 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |