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NPI Code Detail

MEDICARE: RALPH EDWIN MYER MD

MEDICARE: RALPH EDWIN MYER MD
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 PhysicianMD00014200WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669524856
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH EDWIN MYER MD
Provider Business Mailing Address
First Line : PO BOX 34703
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1703
Country : US
Telephone Number : 206-764-0112
Fax Number : 206-764-0489
Provider Business Practice Location Address
First Line : 8720 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4807
Country : US
Telephone Number : 206-762-3730
Fax Number : 206-764-5494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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Directions to “ RALPH EDWIN MYER MD” Practice Location

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