Individual
DR. STEPHEN W MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1112 W 6TH ST STE 109, LAWRENCE, KS 66044-2249
(785) 840-9292
(785) 840-9272
Mailing address
1112 W 6TH ST STE 109, LAWRENCE, KS 66044-2249
(785) 840-9292
(785) 840-9272
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0417893
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100009280O
—
KS
Enumeration date
06/30/2005
Last updated
07/21/2022
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