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Organization

IAN MYERS, MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IAN MYERS (OWNER)
(302) 832-7600
Entity
Organization

Contact information

Practice address
2600 GLASGOW AVE STE 218, NEWARK, DE 19702-5704
(302) 832-7600
(302) 832-6700
Mailing address
2600 GLASGOW AVE STE 218, NEWARK, DE 19702-5704
(302) 832-7600
(302) 832-6700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0005890
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00070381
MEDICARE RR
DE
Enumeration date
07/09/2006
Last updated
01/03/2022
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