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Individual

ROSS ELLIOTT MYERS

Active
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Individual

ROSS ELLIOTT MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35089608
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221173
UNISON
OH
01
1020923720001
PA MEDICAID
PA
05
2759180
OH
01
415013
WELLCARE
OH
01
750933
BUCKEYE
OH
01
9084068
AETNA
OH
Enumeration date
05/10/2007
Last updated
03/09/2012
Update your record

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