NPI 1740433317

Isaac Jordan Myers, MD

Practitioner Health Maintenance Organization Indianapolis, IN

Practice location

Address: 9145 Nautical Watch Dr, Indianapolis, IN 46236-9036
Phone: (317) 308-1664
Fax: (317) 826-7437

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 01038719A (IN)

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Registry record

NPI: 1740433317
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2008
Record last updated: 28 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.