Provider Demographics
NPI:1457470171
Name:MYERS, ROBERT MUNRO (ND)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MUNRO
Last Name:MYERS
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 W GURLEY ST
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-3624
Mailing Address - Country:US
Mailing Address - Phone:928-445-1999
Mailing Address - Fax:928-445-9599
Practice Address - Street 1:810 W GURLEY ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-3624
Practice Address - Country:US
Practice Address - Phone:928-445-1999
Practice Address - Fax:928-445-9599
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ363-85175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath