Individual
STEPHEN DANIEL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 WHITE AVE, KNOXVILLE, TN 37916
(865) 331-1720
(865) 331-2823
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 331-1720
(865) 331-2823
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
37769
KY
207RH0003X
Hematology & Oncology Physician
Primary
60120
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652539
ANTHEM
KY
01
—
3770182000
PASSPORT ADVANTAGE
KY
01
—
50027640
PASSPORT
KY
05
—
64068166
—
KY
05
—
Q052098
—
TN
Enumeration date
02/02/2006
Last updated
07/08/2020
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