Individual
MICHAEL C. MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5289
(740) 446-5697
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5289
(740) 446-5697
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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