Individual
PRESTON L MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2550 LUSK DR, NEOSHO, MO 64850-8855
(174) 512-0604
Mailing address
2550 LUSK DR, NEOSHO, MO 64850-8855
(174) 512-0604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021013059
MO
Other
Enumeration date
05/17/2021
Last updated
06/21/2021
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