Matthew Martin Myers
Anesthesiologist
830 South Gloster Street
Tupelo
, Mississippi 38801
Matthew Martin Myers
Anesthesiologist
830 South Gloster Street
Tupelo
, Mississippi 38801
(662) 377-7045
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Matthew Martin Myers
- Po Box 3294
- Tupelo, MS
- Zip : 38803
- Fax : (662) 377-7045
- Phone : (662) 377-4394
Second Address
- Matthew Martin Myers
- 830 South Gloster Street
- Tupelo, MS
- Zip : 38801
- Fax : (662) 377-7045
- Phone : (662) 377-4394
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 19124 | MS |
National Provider Identifier
| NPI | 1003840240 |
|---|---|
| Provider Name | Matthew Martin Myers |
| First Address | Tupelo, MS 38803 |
| Second Address | Tupelo, MS 38801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00125550 | (05) | MS |
| H44153 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.