Individual
DR. CLIFFORD EARL MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 106, PEORIA, IL 61614-5098
(309) 693-2710
(309) 693-9460
Mailing address
8921 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-2400
(309) 243-7918
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-060306
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356320253
—
IL
Enumeration date
01/10/2006
Last updated
10/19/2021
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