Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 01063681A | IN |
NPI | 1710190319 |
---|---|
Provider Name | Dr. Alex Meyers |
First Address | Carmel, IN 46032-7101 |
Second Address | Carmel, IN 46032-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 06/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01063681A | INDIANA MEDICAL LICENSE (01) | IN |