Individual
GARY DEAN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(877) 866-7123
Mailing address
1401 W LOCUST ST, SUITE 102, STILWELL, OK 74960-3275
(918) 696-4065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13260
OK
208D00000X
General Practice Physician
13260
OK
Other
Enumeration date
08/26/2009
Last updated
04/28/2014
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