Individual
DR. MARK A MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RR 3 BOX 142, HUNT CLUB PLAZA, RIDGELEY, WV 26753-9500
(304) 726-4501
(304) 726-4051
Mailing address
RR 3 BOX 142, HUNT CLUB PLAZA, RIDGELEY, WV 26753-9500
(304) 726-4501
(304) 726-4051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13567
WV
207Q00000X
Family Medicine Physician
D32235
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000513375
MT. STATE BC BS
WV
05
—
0056925000
—
WV
01
—
080188048
TRAVELERS MEDICARE
—
01
—
41843503
CAREFIRST BC BS
MD
01
—
E458 0007
BLUE CHOICE BC BS
DC
Enumeration date
07/20/2005
Last updated
04/23/2008
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