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NPI Code Detail

MEDICARE: MICHAEL GLENN MYERS MD

MEDICARE:   MICHAEL GLENN MYERS  MD
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
12085R0202XDiagnostic Radiology Physician224686-01NY
22085R0202XDiagnostic Radiology PhysicianG52631CA

General Provider Information

NPI Number : 1558322180
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GLENN MYERS MD
Provider Business Mailing Address
First Line : 6496 DEER HOLLOW DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95120-1634
Country : US
Telephone Number : 888-318-8900
Fax Number :
Provider Business Practice Location Address
First Line : 6496 DEER HOLLOW DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95120-1634
Country : US
Telephone Number : 888-318-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 03/13/2024

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Directions to “ MICHAEL GLENN MYERS MD” Practice Location

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