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Individual

DOUGLAS RICHARD MYERS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
119 YELLOWSTONE DR, CHICO, CA 95973-5811
(530) 891-1146
(530) 891-0123
Mailing address
119 YELLOWSTONE DR, CHICO, CA 95973-5811
(530) 891-1146
(530) 891-0123

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5438 T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GSD000690
CA
Enumeration date
06/05/2006
Last updated
07/09/2007
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