Individual
JONATHAN J. MYER
Active
Individual
JONATHAN J. MYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A83316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A833160
—
CA
01
—
WA83316A
MEDICARE ID
CA
Enumeration date
05/24/2005
Last updated
04/14/2011
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