Organization
AMERICAN INSTITUTE FOR DISEASES OF THE PROSTATE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E MYERS JR. M.D. (DIRECTOR)
(434) 964-0212
Entity
Organization
Contact information
Practice address
690 BENT OAKS DR, EARLYSVILLE, VA 22936
(434) 964-0212
(434) 964-0216
Mailing address
PO BOX 195, EARLYSVILLE, VA 22936-0195
(434) 964-0212
(434) 964-0216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101050527
VA
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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