# THOMAS D MYERS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174705198
- **Authorized official:** DR. THOMAS DYRENG MYERS MD (PHYSICIAN)
- **Authorized official phone:** (801) 224-3565

## Contact information

- **Practice address:** 280 RIVER PARK DR, SUITE 220, PROVO, UT 84604-5764
- **Practice address phone:** (801) 224-3565
- **Practice address fax:** (801) 224-3567
- **Mailing address:** 280 RIVER PARK DR, SUITE 220, PROVO, UT 84604-5764
- **Mailing address phone:** (801) 224-3565
- **Mailing address fax:** (801) 224-3567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 52144401205 | UT | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 10/04/2012