Individual
DR. CHRISTOPHER BLAKE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3190 CHURN CREEK RD, REDDING, CA 96002-2122
(530) 223-2500
Mailing address
4045 MOUNT WHITNEY WAY, REDDING, CA 96002-5131
(864) 380-7823
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
14023
SC
207W00000X
Ophthalmology Physician
29367
WV
207W00000X
Ophthalmology Physician
Primary
G178560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140234
—
SC
01
—
1577695003
CIGNA PROVIDER NUMBER
SC
01
—
180018442
MEDICARE RAILROAD
SC
01
—
4328801
AETNA PROVIDER NUMBER
SC
Enumeration date
01/25/2006
Last updated
06/25/2024
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