Individual
ANYA REN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
(877) 738-4262
Mailing address
3224 S PARK AVE, HERRIN, IL 62948-3715
(618) 942-2171
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036-130942
IL
2083X0100X
Occupational Medicine Physician
Primary
A13445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130942-1
—
IL
01
—
P01119477
RAILROAD MEDICARE
IL
Enumeration date
06/22/2008
Last updated
12/15/2021
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