Individual
MR. JOHN RICHARD MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C., N.C.C.
Contact information
Practice address
42938 KENDANEMKEN CT, SOLDOTNA, AK 99669-2086
(907) 690-5200
Mailing address
PO BOX 2086, SOLDOTNA, AK 99669-2086
(907) 690-5200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
490
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0156
—
AK
05
—
MHO156
—
AK
Enumeration date
09/29/2006
Last updated
03/05/2015
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