Individual
BETHANY ANN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
7756259-1206
UT
363AS0400X
Surgical Physician Assistant
2251
AK
363AS0400X
Surgical Physician Assistant
Primary
PA196112
OR
Other
Enumeration date
09/20/2010
Last updated
07/18/2023
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