Individual
NICHOLAS V MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
312 COLUMBIA ST NW, OLYMPIA, WA 98501-1031
(360) 742-7192
(360) 357-1391
Mailing address
312 COLUMBIA ST NW, OLYMPIA, WA 98501-1031
(360) 742-7192
(360) 357-1391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023076
WA
Other
Enumeration date
09/27/2007
Last updated
08/05/2011
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