Provider Demographics
NPI:1386922904
Name:MYERS, ALEXANDRA REED (DO)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:REED
Last Name:MYERS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:6699 ALVARADO RD
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-5244
Mailing Address - Country:US
Mailing Address - Phone:619-229-3922
Mailing Address - Fax:619-229-3902
Practice Address - Street 1:6699 ALVARADO RD
Practice Address - Street 2:SUITE 2100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-5244
Practice Address - Country:US
Practice Address - Phone:619-229-3922
Practice Address - Fax:619-229-3902
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-31
Last Update Date:2014-08-26
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Provider Licenses
StateLicense IDTaxonomies
CA20A11819207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine