Individual
DR. EDWARD JEFFERY MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10731 HIGHWAY 21, HILLSBORO, MO 63050-5218
(636) 789-2722
(636) 797-5900
Mailing address
PO BOX 229, HILLSBORO, MO 63050-0229
(636) 789-2722
(636) 797-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207Q00000X
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115070
HEALTHLINK
MO
01
—
125997
GHP
MO
01
—
125999
CMR
MO
01
—
16219
GHP
MO
01
—
22389
BLUE CROSS BLUE SHIELD
MO
01
—
4573819
AETNA
MO
01
—
9831
BLUECHOICE
MO
Enumeration date
02/01/2006
Last updated
03/31/2008
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