MEDICARE: DR. DAVID ALLEN MYERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	022710	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598816696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ALLEN MYERS

Provider Business Mailing Address
First Line	:	PO BOX 55730
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70055-5730
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 METAIRIE RD
Second Line	:	STE. 2A-202
City	:	METAIRIE
State	:	LA
Zip	:	70005-4050
Country	:	US
Telephone Number	:	504-833-9440
Fax Number	:	504-833-1312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	03/17/2014

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