Provider Demographics
NPI:1174794242
Name:MYERS, STEPHEN DOAR (DC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:DOAR
Last Name:MYERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2521 SCHIEFFELIN RD STE 130
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4417
Mailing Address - Country:US
Mailing Address - Phone:919-267-9771
Mailing Address - Fax:919-800-3859
Practice Address - Street 1:2521 SCHIEFFELIN RD STE 130
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4417
Practice Address - Country:US
Practice Address - Phone:919-267-9771
Practice Address - Fax:919-800-3859
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor