Organization Name: | DAVID PAUL MYERS, D.O., P.C. |
NPI Number: | 1912201260 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID PAUL MYERS (PRESIDENT) |
Mailing Address: | 750 S Craycroft Rd Ste 150 Tucson |
State: | AZ US |
Postal Code: | 857117132 |
Phone Number: | 5207902798 |
Fax Number: | 5207456260 |
NPI Enumeration Date: | 12/30/2010 |
NPI Last Update Date: | 12/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |