Individual
MARK C. MYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 W 110TH ST, OVERLAND PARK, KS 66210-4045
(913) 574-2650
(913) 574-2769
Mailing address
9200 INDIAN CREEK PKWY, BUILDING 9, SUITE 300, OVERLAND PARK, KS 66210-2002
(913) 574-2800
(913) 574-2336
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
04-18638
KS
207RH0003X
Hematology & Oncology Physician
34598
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176830C
—
KS
05
—
1902878309
—
MO
Enumeration date
02/02/2006
Last updated
05/09/2016
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