Organization
MYERS & MILLER PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM MICHAEL MYERS D.P.M. (PRESIDENT/PHYSICIAN)
(330) 339-6233
Entity
Organization
Contact information
Practice address
515 UNION AVE, SUITE 147, DOVER, OH 44622-3004
(330) 339-6233
(330) 343-8460
Mailing address
515 UNION AVE, SUITE 147, DOVER, OH 44622-3004
(330) 339-6233
(330) 343-8460
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36003164M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000579652
ANTHEM
OH
01
—
000000579653
ANTHEM
OH
01
—
000000579655
ANTHEM
OH
05
—
2868884
—
OH
01
—
P00653532
RAILROAD MEDICARE PART B
OH
01
—
P00662344
RAILROAD MEDICARE
OH
01
—
P00664490
RAILROAD MEDICARE
OH
Enumeration date
04/16/2008
Last updated
05/05/2011
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