Provider Demographics
NPI:1407126717
Name:MYERBERG, DAVID ZELL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ZELL
Last Name:MYERBERG
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 1:237 LEBANON ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-6535
Mailing Address - Country:US
Mailing Address - Phone:304-290-3310
Mailing Address - Fax:304-284-4140
Practice Address - Street 1:237 LEBANON ST
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-6535
Practice Address - Country:US
Practice Address - Phone:304-290-3310
Practice Address - Fax:304-284-4140
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV117692080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine