Individual
MR. DAVID W. MYERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BLDG 5-4257 BASTOGNE STREET EXTENSION, FORT BRAGG, NC 28310-0001
(910) 907-2575
(910) 396-5754
Mailing address
4483 KINKEAD CT, FAYETTEVILLE, NC 28314-2487
(910) 864-1284
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102708
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102708
STATE MED BOARD LICENSE
NC
Enumeration date
03/29/2006
Last updated
07/08/2007
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