Individual
CARLA M MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2510 COMMONS BLVD, SUITE 210, BEAVERCREEK, OH 45431-3820
(937) 429-0607
(937) 558-3067
Mailing address
2510 COMMONS BLVD, SUITE 210, BEAVERCREEK, OH 45431-3820
(937) 429-0607
(937) 558-3067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34003506M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000016431
ANTHEM
OH
05
—
0539395
—
OH
01
—
110066029
RR MEDICARE
OH
01
—
311346460026
CARESOURCE
OH
01
—
4246009
AETNA
OH
Enumeration date
07/12/2005
Last updated
08/21/2015
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