Individual
MARK LANE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1111 VAN VOORHIS RD STE 2, MORGANTOWN, WV 26505-2737
(304) 598-8500
Mailing address
508 WILSON ST, CLARKSBURG, WV 26301-3623
(304) 669-3130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58803
WV
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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