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Individual
MR. BRANDON MYERS MICHAEL MYERS
Active
Individual
MR. BRANDON MYERS MICHAEL MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
04/14/2014
Last updated
04/14/2014
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