Organization
MYERS AMBUCARE SURGERY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLIN LEWIS MYERS M.D. (PHYSICIAN)
(717) 215-7912
Entity
Organization
Contact information
Practice address
6211 CIDER PRESS RD, HARRISBURG, PA 17111-4722
(717) 215-7912
Mailing address
6211 CIDER PRESS RD, HARRISBURG, PA 17111-4722
(717) 215-7912
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04583-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022349410001
—
PA
Enumeration date
04/30/2008
Last updated
06/08/2010
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