Individual
WILLIAM J MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
Mailing address
1501 VELIA ST, MEDFORD, OR 97504-5264
(541) 251-0843
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201502749LPN
OR
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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