Individual
MARK S MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 S HUMBOLDT ST, BATTLE MOUNTAIN, NV 89820-1988
(775) 635-2424
(775) 635-2437
Mailing address
535 S HUMBOLDT ST, BATTLE MOUNTAIN, NV 89820-1988
(775) 635-2424
(775) 635-2437
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
6106
NV
207R00000X
Internal Medicine Physician
6106
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805566800
—
ID
01
—
V104456
MEDICARE PTAN
—
Enumeration date
08/31/2006
Last updated
11/07/2016
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