Organization
C E MYERS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD EARL MYERS M.D. (OWNER)
(309) 693-2710
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 106, PEORIA, IL 61614-5098
(309) 693-2710
(309) 693-9460
Mailing address
5401 N KNOXVILLE AVE, PEORIA, IL 61614-5098
(309) 693-2710
(309) 693-9460
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36060306
IL
332B00000X
Durable Medical Equipment & Medical Supplies
36060306
IL
Other
Enumeration date
02/13/2008
Last updated
09/15/2008
Update your record
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