Organization
DALE R MYERS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE R MYERS MD (OWNER)
(307) 587-1155
Entity
Organization
Contact information
Practice address
1613 STAMPEDE AVE, SUITE A, CODY, WY 82414-4710
(307) 587-1155
(307) 587-1166
Mailing address
1613 STAMPEDE AVE, SUITE A, CODY, WY 82414-4710
(307) 587-1155
(307) 587-1166
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
7160A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120532300
—
WY
01
—
313292
BCBS
WY
Enumeration date
10/25/2007
Last updated
10/24/2011
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