Individual
TARA MARIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11911 N MERIDIAN ST STE 125, CARMEL, IN 46032
(314) 621-1006
(317) 621-4050
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064721A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01064721A
IN
208M00000X
Hospitalist Physician
01064721A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000817383
ANTHEM
IN
05
—
200894350
—
IN
Enumeration date
03/12/2008
Last updated
09/10/2024
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