Provider Demographics
NPI:1104802040
Name:MYERS, AMY A (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:A
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:931 HARRISBURG AVE STE 9
Mailing Address - Street 2:FRANKLIN AND MARSHALL COLLEGE
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2652
Mailing Address - Country:US
Mailing Address - Phone:717-544-9051
Mailing Address - Fax:717-735-9234
Practice Address - Street 1:931 HARRISBURG AVE STE 9
Practice Address - Street 2:FRANKLIN AND MARSHALL COLLEGE
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2652
Practice Address - Country:US
Practice Address - Phone:717-544-9051
Practice Address - Fax:717-735-9234
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH13762207QS0010X
PAMD052068L207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHF36773Medicare UPIN
NH000410001Medicare PIN