Individual
DR. MICHAEL SCOTT MYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 390-1571
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3832
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101242161
VA
207L00000X
Anesthesiology Physician
20704
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821211665
MOUNTAIN STATE BLUE CROSS BLUE SHIELD
WV
05
—
1821211665
—
VA
01
—
270052997
HEALTHNET/TRICARE
WV
05
—
3810011144
—
WV
01
—
P01036106
RAILROAD MEDICARE
VA
Enumeration date
04/10/2007
Last updated
03/19/2024
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