Individual
FREDERICK MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 GIBSON AVE, KINGSTON, PA 18704-5216
(570) 283-9357
Mailing address
540 GIBSON AVE, KINGSTON, PA 18704-5216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD014309E
PA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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