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Individual

DR. MARK A MYERS

Active
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Individual

DR. MARK A MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13567
WV
207Q00000X
Family Medicine Physician
D32235
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000513375
MT. STATE BC BS
WV
05
—
0056925000
—
WV
01
—
080188048
TRAVELERS MEDICARE
—
01
—
41843503
CAREFIRST BC BS
MD
01
—
E458 0007
BLUE CHOICE BC BS
DC
Enumeration date
07/20/2005
Last updated
04/23/2008
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