Individual
MICHELLE LUCILLE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 378-4529
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 378-4529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0046272
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881774289
BCBS
KS
05
—
1881774289
—
MO
05
—
200618390A
—
KS
Enumeration date
10/17/2006
Last updated
10/24/2014
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