Individual
MATTHEW MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 6TH ST, NEVADA, IA 50201-2266
(515) 382-2543
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
074492
IA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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