Individual
DEBORAH L MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD6170
RI
207VG0400X
Gynecology Physician
MD6170
RI
Other
Enumeration date
07/14/2006
Last updated
04/08/2021
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