Individual
TODD RICHARD MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1113 WASHINGTON ST, RAVENSWOOD, WV 26164-1020
(740) 516-8133
Mailing address
406 4TH ST, MARIETTA, OH 45750-2003
(740) 516-8133
(740) 568-0057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19171
WV
207V00000X
Obstetrics & Gynecology Physician
35075798M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093561000
—
WV
05
—
2150925
—
OH
01
—
P01331374
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
05/27/2005
Last updated
10/16/2024
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