Individual
CLIFFORD J MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 FAIR AVE, MIDDLEBOURNE, WV 26149-9622
(304) 758-5100
(304) 758-4646
Mailing address
PO BOX 244, NEW MARTINSVILLE, WV 26155-0244
(304) 233-9314
(304) 233-0265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1244
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042999000
—
WV
05
—
0803947
—
OH
Enumeration date
05/24/2006
Last updated
01/11/2021
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