Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-068707 | OH |
NPI | 1457458010 |
---|---|
Provider Name | Melissa Terry Myers |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44109-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 29/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2097609 | (05) | OH |
G57935 | (02) | OH |
P00618513 | RAILROAD MEDICARE (01) | OH |