Individual
JONATHAN JAY MYERS
Active
Individual
JONATHAN JAY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02002639A
IN
207RG0100X
Gastroenterology Physician
Primary
DO156743
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500645121
—
OR
Enumeration date
11/30/2005
Last updated
09/18/2019
Update your record
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