Individual
EDWIN GREGORY MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM, LMT
Contact information
Practice address
4019 ICE CAVES ROAD, RAMAH, NM 87321
(505) 490-7204
Mailing address
HC 61 BOX 1012, RAMAH, NM 87321-9600
(505) 490-7204
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1240
NM
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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