Individual
DALLAS MORGAN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 30TH AVE S APT 1, MINNEAPOLIS, MN 55406-2986
(850) 497-4009
Mailing address
2425 30TH AVE S APT 1, MINNEAPOLIS, MN 55406-2986
(850) 497-4009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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