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NPI Code Detail

MEDICARE: DR. CHARLES EUGENE MYERS DO

MEDICARE: DR. CHARLES EUGENE MYERS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician1239AZ

General Provider Information

NPI Number : 1699828723
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES EUGENE MYERS DO
Provider Business Mailing Address
First Line : 3306 W ROOSEVELT ST
Second Line : SUITE A
City : PHOENIX
State : AZ
Zip : 85009-3404
Country : US
Telephone Number : 602-278-4930
Fax Number :
Provider Business Practice Location Address
First Line : 3306 W ROOSEVELT ST
Second Line : SUITE A
City : PHOENIX
State : AZ
Zip : 85009-3404
Country : US
Telephone Number : 602-278-4930
Fax Number : 602-269-7772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CHARLES EUGENE MYERS DO” Practice Location

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