| NPI Details | |
|---|---|
| NPI | 1295093821 |
| Enumeration Date | 05/02/2012 |
| Last Updated | 12/04/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 5 years ago |
| Authorized Information | |
|---|---|
| Name | RICHARD KELLEY RICHARD |
| Position | MD/OWNER |
| Phone | (901) 752-9009 |
| Fax | (901) 756-8541 |
| Practice Location | |
|---|---|
| 1265 UNION AVE MEMPHIS TN, 38104-3415, US |
|
| Phone | (901) 752-9009 |
| Fax | (901) 756-8541 |
| Business Location | |
|---|---|
| 70 RIVER HEIGHTS DR APT 304 MEMPHIS TN, 38103-6967, US |
|
| Phone | |
| Fax | (901) 756-8541 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | |
| License Number | |
| Remove 1295093821 NPI Number | |
According to our database, The Myers Clinic Llc NPI is 1295093821, taxonomy code is 207Q00000X The Myers Clinic Llc physically located at 1265 Union Ave, Memphis TN, 38104-3415. NPI Number 1033115704 has the healthcare provider type.
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1295093821 NPI number is provided on an as is basis without warranty of any kind. 1295093821 is maintained by the National Plan & Provider Enumeration System. The contents of The Myers Clinic Llc are for informational purposes only.
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