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NPI Code Detail

MEDICARE: DR. ERIC (RICK) J MEYERS DDS

MEDICARE:  DR. ERIC (RICK) J MEYERS  DDS
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
11223P0221XPediatric Dentistry3915AZ

General Provider Information

NPI Number : 1568577559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC (RICK) J MEYERS DDS
Provider Business Mailing Address
First Line : 702 E BELL RD
Second Line : SUITE #116
City : PHOENIX
State : AZ
Zip : 85022-6639
Country : US
Telephone Number : 602-867-7880
Fax Number : 602-867-0841
Provider Business Practice Location Address
First Line : 702 E BELL RD
Second Line : SUITE #116
City : PHOENIX
State : AZ
Zip : 85022-6639
Country : US
Telephone Number : 602-867-7880
Fax Number : 602-867-0841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/08/2007

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