Individual
SAMUEL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(316) 887-7000
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002118A
IN
363AM0700X
Medical Physician Assistant
Primary
—
IN
Other
Enumeration date
09/06/2016
Last updated
01/22/2026
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