Individual
IAN WILLIAM MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5608
(602) 344-1299
Mailing address
3255 E ELWOOD ST, PHOENIX, AZ 85034-7256
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3734
AZ
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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