Individual
DR. STEPHAN R MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2603 KEISER BLVD, SUITE 104, WYOMISSING, PA 19610-3341
(484) 628-3150
(484) 628-3139
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-04-8912
OH
208600000X
Surgery Physician
Primary
MD050027L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102678170
—
PA
Enumeration date
08/03/2006
Last updated
11/18/2014
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