Individual
DR. WILLIAM JACK MYERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
610 E SEATTLE PL, BROKEN ARROW, OK 74012-8107
(918) 606-1984
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4218
OK
208600000X
Surgery Physician
Primary
4218
OK
Other
Enumeration date
10/25/2006
Last updated
09/15/2008
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