Individual
CHARISSA GARDNER MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 S HENDERSON RD STE 306, KING OF PRUSSIA, PA 19406-4208
(610) 265-0726
(601) 265-3132
Mailing address
700 S HENDERSON RD STE 306, KING OF PRUSSIA, PA 19406-4208
(610) 265-0726
(601) 265-3132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD441169
PA
Other
Enumeration date
06/20/2008
Last updated
06/19/2012
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