Healthcare Provider Details

I. General information

NPI: 1295656296
Provider Name (Legal Business Name): ROBERT MATTHEW MYERS NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3756 E JASPER DR
GILBERT AZ
85296-8248
US

IV. Provider business mailing address

3756 E JASPER DR
GILBERT AZ
85296-8248
US

V. Phone/Fax

Practice location:
  • Phone: 240-499-4377
  • Fax:
Mailing address:
  • Phone: 240-499-4377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP32124675
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: