Provider Demographics
NPI:1992894711
Name:MYERS, E. ANN (MD)
Entity type:Individual
Prefix:DR
First Name:E.
Middle Name:ANN
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 SHRADER ST
Mailing Address - Street 2:SUITE 578
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1016
Mailing Address - Country:US
Mailing Address - Phone:415-669-6767
Mailing Address - Fax:415-668-8248
Practice Address - Street 1:2250 HAYES ST
Practice Address - Street 2:SUITE 505
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1078
Practice Address - Country:US
Practice Address - Phone:415-669-6767
Practice Address - Fax:415-668-8248
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2016-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG66699207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G666990Medicaid
CA00G666990Medicare ID - Type Unspecified
CA00G666990Medicaid