Provider Demographics
NPI:1427291426
Name:MYERS, PHILIP EVERETT (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:EVERETT
Last Name:MYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 COUNTY ROAD 1754
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9390
Mailing Address - Country:US
Mailing Address - Phone:419-289-0980
Mailing Address - Fax:
Practice Address - Street 1:700 COUNTY ROAD 1754
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-9390
Practice Address - Country:US
Practice Address - Phone:419-289-0980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH47852208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery