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Individual

DR. MARK R MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 E CALIFORNIA BLVD, 3RD FL, PASADENA, CA 91105-3944
(626) 793-1227
(626) 793-3794
Mailing address
55 E CALIFORNIA BLVD, 3RD FL, PASADENA, CA 91105-3944
(626) 793-1227
(626) 793-3794

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G50231
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G50231
BLUE SHIELD
CA
01
P00097733
RAIL ROAD MEDICARE
CA
Enumeration date
05/01/2006
Last updated
04/11/2008
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