Individual
BRADLEY JAY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(073) 762-4119
(073) 523-3639
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 352-3222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
08/22/2023
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