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Individual

PHILIP L MYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1550 6TH STREET, MANNING, IA 51455-1004
(712) 655-2072
(712) 655-3228
Mailing address
1550 6TH ST, MANNING, IA 51455-1005
(712) 655-2072
(712) 655-3228

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04199
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0091405
IA
Enumeration date
09/20/2005
Last updated
06/13/2014
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