Individual
DR. WALTER MICHAEL MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 FOUNTAIN AVE, SUITE 400, PADUCAH, KY 42001-2771
(270) 443-6490
(270) 442-8899
Mailing address
100 FOUNTAIN AVE, SUITE 400, PADUCAH, KY 42001-2771
(270) 443-6490
(270) 442-8899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KY5326
KY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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