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MR. CHARLES DORSEY MYERS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3200 VINE ST, CINCINNATI, OH 45220
(513) 861-3100
Mailing address
PO BOX 632572, CINCINNATI, OH 45263-2572
(513) 865-5204

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
312989
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
312989
LICENSE
OH
Enumeration date
12/07/2009
Last updated
03/04/2019
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