MEDICARE: DAVID B 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
1	208600000X	Surgery Physician	3460	MT

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	:	1316943020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID B MYERS M.D.

Provider Business Mailing Address
First Line	:	1903 CAMDEN DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2813
Country	:	US
Telephone Number	:	406-656-8385
Fax Number	:	406-238-6068

Provider Business Practice Location Address
First Line	:	1903 CAMDEN DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2813
Country	:	US
Telephone Number	:	406-656-8385
Fax Number	:	406-238-6068

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	04/22/2011

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