Individual
SUZAN R MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
202 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 647-4411
Mailing address
202 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2353
WV
Other
Enumeration date
05/12/2008
Last updated
10/27/2011
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