Individual
MATTHEW STEVENS MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
GRADUATE MEDICAL EDUCATION MSC 116093, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6225
(505) 272-5184
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-0011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD2016-0474
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
05/04/2011
Last updated
07/14/2016
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