Provider Demographics
NPI:1518598838
Name:MYLER, ANDREW (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:MYLER
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BLANCHFIELD ARMY COMMUNITY ARMY HOSPITAL
Mailing Address - Street 2:650 JOEL DR
Mailing Address - City:FORT CAMPBELL
Mailing Address - State:KY
Mailing Address - Zip Code:42223
Mailing Address - Country:US
Mailing Address - Phone:270-956-0693
Mailing Address - Fax:
Practice Address - Street 1:6530 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-1716
Practice Address - Country:US
Practice Address - Phone:719-330-8728
Practice Address - Fax:270-412-6802
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No171000000XOther Service ProvidersMilitary Health Care Provider