Individual
MICHAEL C. MYERS
Active
Individual
MICHAEL C. MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1416
WV
2085R0202X
Diagnostic Radiology Physician
Primary
34-00-5682
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007369
ANTHEM BCBS
—
01
—
000000191101
UNISON MEDICAID
OH
01
—
001714061
MOUNTAIN STATE BCBS
—
05
—
0119559000
—
WV
01
—
0929179
MOLINA MEDICAID
OH
01
—
300032014
RR MEDICARE
—
Enumeration date
06/07/2006
Last updated
11/06/2020
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