Provider Demographics
NPI:1932413325
Name:MYERS, WAYNE PATRICK (DO)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:PATRICK
Last Name:MYERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:88 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9720
Mailing Address - Country:US
Mailing Address - Phone:724-222-9500
Mailing Address - Fax:724-222-9523
Practice Address - Street 1:88 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9720
Practice Address - Country:US
Practice Address - Phone:724-222-9500
Practice Address - Fax:724-222-9523
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT013537208600000X
PAOS016229208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery