Individual
IAN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 GLASGOW AVE, SUITE 126, NEWARK, DE 19702-4773
(302) 832-7600
Mailing address
2600 GLASGOW AVE STE 218, NEWARK, DE 19702-5704
(302) 832-7600
(302) 832-6700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0005890
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758403200
—
MD
01
—
P00070381
MEDICARE RAILROAD
DE
Enumeration date
05/02/2006
Last updated
01/03/2022
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