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NPI Code Detail

MEDICARE: MELANIE L. MYERS P.A.

MEDICARE:   MELANIE L. MYERS  P.A.
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
1363A00000XPhysician AssistantPA.200667LA
2363A00000XPhysician AssistantPA-936AR

General Provider Information

NPI Number : 1841616604
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE L. MYERS P.A.
Provider Business Mailing Address
First Line : 7900 DALLAS STREET
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-1644
Country : US
Telephone Number : 479-242-6647
Fax Number : 479-250-0505
Provider Business Practice Location Address
First Line : 7900 DALLAS STREET
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5690
Country : US
Telephone Number : 479-242-6647
Fax Number : 479-250-0505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2014
Last Update Date : 03/06/2023

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Directions to “ MELANIE L. MYERS P.A.” Practice Location

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