# DR. MARK A MYERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710986658
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13567 | WV | Yes |
| 207Q00000X | Family Medicine Physician | D32235 | MD | — |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 04/23/2008

## 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 |