Individual
RUSSELL H MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 WATERCOVE RD, MIDLOTHIAN, VA 23112-3982
(804) 744-0200
(804) 744-8417
Mailing address
3000 WATERCOVE RD, MIDLOTHIAN, VA 23112-3982
(804) 744-0200
(804) 744-8417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035688
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100410
UNITED HEALTHCARE
VA
01
—
10002820
OPTIMA
VA
01
—
10489
CIGNA
VA
01
—
116048
ANTHEM
VA
01
—
540189
AETNA
VA
01
—
540883363
PHCS
VA
01
—
5450883363
VIRGINIA HEALTH NETWORK
VA
05
—
5633834
—
VA
01
—
82538
SOUTHERN HEALTH
VA
01
—
856732
MAMSI
VA
Enumeration date
05/16/2006
Last updated
07/19/2013
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