Doctor Name: | MS. JODEE LYNN MYERS |
NPI Number: | 1598977373 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.A.-C. |
License Number: | |
Business Practice Address: | 951 E Market St Cadiz, OH - 439079799 |
Business Phone Number: | 7409424631 |
Business Fax Number: | 7409422749 |
Mailing Address: | 79680 Lamborn Rd, CADIZ |
State: | OH |
Postal Code: | 439079445 |
Phone Number: | 7405464449 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 11/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |