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NPI Code Detail

MEDICARE: ROBERT IAN MYERS M.D.

MEDICARE: ROBERT IAN MYERS M.D.
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
1207R00000XInternal Medicine PhysicianG9170TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24046711OTHERAETNA
3845114OTHERBCBS
4110040884OTHERRR MC

General Provider Information

NPI Number : 1295833721
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT IAN MYERS M.D.
Provider Business Mailing Address
First Line : PO BOX 360541 SUITE 508
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-0001
Country : US
Telephone Number : 972-525-9900
Fax Number : 469-333-7988
Provider Business Practice Location Address
First Line : 5001 ROSS AVE # 120
Second Line :
City : DALLAS
State : TX
Zip : 75206-7706
Country : US
Telephone Number : 972-525-9900
Fax Number : 469-333-7988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 01/27/2023

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