Individual
DR. DERRICK MARLIN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 N. MADISON AVE, PASADENA, CA 91101-6630
(626) 291-2525
(626) 898-9244
Mailing address
90 N MADISON AVE, PASADENA, CA 91101-1740
(626) 291-2525
(626) 898-9244
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A84438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A844380
—
CA
Enumeration date
06/14/2006
Last updated
10/10/2016
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