Individual
REBECCA J MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
755 S PLEASANT AVE, DALLASTOWN, PA 17313-9252
(717) 851-1300
(717) 851-1310
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1300
(717) 851-1310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053563
PA
363AM0700X
Medical Physician Assistant
Primary
MA053563
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1577287
GATEWAY-WMG
PA
01
—
2076270
HIGHMARK BLUE SHIELD
PA
01
—
50081262
CAPITAL BLUE CROSS-WMG
PA
Enumeration date
09/09/2008
Last updated
02/18/2014
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