NPI Profile for CHARLES H MYERS II in OKMULGEE, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X |
| NPI Number | 1306499603 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/17/2019 | |
| Last updated | 11/26/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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CHARLES H MYERS II
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