Provider Demographics
NPI:1710850771
Name:PHIL MYERS PHYSICIANS ASSISTANT INCORPORATED
Entity type:Organization
Organization Name:PHIL MYERS PHYSICIANS ASSISTANT INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:559-302-8169
Mailing Address - Street 1:3248 N MEMORY ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8690
Mailing Address - Country:US
Mailing Address - Phone:559-302-8169
Mailing Address - Fax:
Practice Address - Street 1:3248 N MEMORY ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-8690
Practice Address - Country:US
Practice Address - Phone:559-302-8169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHIL MYERS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty