Organization
MYRIE & ASSOCIATES
Active
Other names
Denville A Myrie MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENVILLE A MYRIE MD (PRESIDENT)
(515) 490-8950
Entity
Organization
Contact information
Practice address
974 73RD ST, SUITE 25, WINDSOR HEIGHTS, IA 50324-1024
(515) 225-3355
(515) 222-1828
Mailing address
PO BOX 8057, DES MOINES, IA 50301-8057
(515) 225-3355
(515) 222-1828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34603
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2261560
—
IA
01
—
39903
WELLMARK BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/02/2006
Last updated
06/04/2010
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