Individual
JONATHAN JAY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7095 N CHESTNUT AVE STE 101, FRESNO, CA 93720
(559) 323-8200
Mailing address
7095 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0360
(559) 323-8200
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
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