Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QS0010X | Family Doctor - Sports Medicine | 13762 | NH |
Y | 207QS0010X | Family Doctor - Sports Medicine | MD052068L | PA |
NPI | 1104802040 |
---|---|
Provider Name | Dr. Amy A Myers |
First Address | Lancaster, PA 17603-2652 |
Second Address | Lancaster, PA 17603-2652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 24/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F36773 | (02) | NH |