Gary Bruce Myers OD

NPI 1093746620 - Optometrist - 152W00000X

NPI Details
NPI 1093746620
Gender Male
Enumeration Date 07/05/2006
Last Updated 01/15/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1140 MAIN ST STE 207
RAMONA CA, 92065-2168, US
Phone (760) 789-1191
Fax (760) 789-1216
Business Location
1140 MAIN ST STE 207
RAMONA CA, 92065-2168, US
Phone (760) 789-1191
Fax (760) 789-1216
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 7998T
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According to our database, Dr. Gary Bruce Myers OD NPI is 1093746620, taxonomy code is 152W00000X and license number is 7998T, license state is located at California. Gary Bruce Myers OD physically located at 1140 Main St Ste 207, Ramona CA, 92065-2168. NPI Number Gary Bruce Myers OD has the Individual type.

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1093746620 NPI number is provided on an as is basis without warranty of any kind. 1093746620 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Bruce Myers OD are for informational purposes only.