Individual
MR. BRUCE R MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
67 CORPORATE DR STE 200, PORTSMOUTH, NH 03801-2847
(603) 431-5529
(603) 436-6603
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(603) 431-5529
(603) 436-6603
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
8203
NH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8203
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074297
—
NH
Enumeration date
10/17/2006
Last updated
02/25/2021
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