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Individual
PHILIP MYERS
Active
Individual
PHILIP MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD032809E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010367500
—
PA
05
—
0010367500002
—
PA
01
—
007302
AETNA PPO MANAGED CARE
—
01
—
059248
BLUE SHIELD
PA
01
—
10367500002
PA MEDICAL ASSISTANCE
—
01
—
1058233
KEYSTONE MERCY HEALTHPLAN
—
01
—
110243166
MEDICARE RAILROAD
—
01
—
2119896001
KEYSTONE HEALTH PLAN EAST
—
01
—
280685
MAMSI
—
01
—
4708888939
FIRST HEALTH CCN
—
01
—
470888939
HEALTH NET
—
01
—
P543145
OXFORD
—
Enumeration date
02/22/2006
Last updated
03/09/2020
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