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Individual

GAYLE P MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
789 ETHAN ALLEN HIGHWAY, MILTON, VT 05468
(802) 524-2583
(802) 524-0010
Mailing address
PO BOX 2149, MILTON, VT 05468
(802) 524-2583
(802) 524-0010

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420007965
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009415
VT
01
9978
BC BS
VT
Enumeration date
10/24/2006
Last updated
12/01/2014
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