Individual
DR. JOSEPH WILLIAM MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6822 EAST 1000 SOUTH, FORT DUCHESNE PHS INDIAN HEALTH CENTER, FORT DUCHESNE, UT 84026
(435) 725-6874
Mailing address
6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026
(435) 725-6874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5345586-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700000000009
—
UT
Enumeration date
10/04/2006
Last updated
04/04/2013
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