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NPI Code Detail

MEDICARE: PATRICK SEAN MYER CRNA

MEDICARE: PATRICK SEAN MYER CRNA
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
1367500000XCertified Registered Nurse Anesthetist0024166931VA
2367500000XCertified Registered Nurse AnesthetistRN205132GA
3367500000XCertified Registered Nurse Anesthetist110507OK

General Provider Information

NPI Number : 1760564363
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK SEAN MYER CRNA
Provider Business Mailing Address
First Line : 2204 MORNING STAR
Second Line :
City : EDMOND
State : OK
Zip : 73034-6574
Country : US
Telephone Number : 405-696-6500
Fax Number :
Provider Business Practice Location Address
First Line : 1111 N DEWEY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-2609
Country : US
Telephone Number : 405-272-9671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/18/2016

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Directions to “ PATRICK SEAN MYER CRNA” Practice Location

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