Provider Demographics
NPI:1881692978
Name:MYERS, DUANE E (MD)
Entity type:Individual
Prefix:DR
First Name:DUANE
Middle Name:E
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:PO BOX 2787
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-2787
Mailing Address - Country:US
Mailing Address - Phone:620-231-3000
Mailing Address - Fax:
Practice Address - Street 1:1 MT. CARMEL WAY
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762
Practice Address - Country:US
Practice Address - Phone:620-235-7900
Practice Address - Fax:620-235-7908
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK148442085R0001X
MOR4J032085R0001X
KS04-226932085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO920005140OtherRAILROAD MEDICARE
KS100116810BMedicaid
OK100136380AMedicaid
MO202644100Medicaid
OK100136380AMedicaid
MO202644100Medicaid