Shelly R Myers
Family Doctor - Geriatric Medicine
4520 N 12th St Suite #103
Phoenix
, Arizona 85014-4233
Shelly R Myers
Family Doctor - Geriatric Medicine
4520 N 12th St Suite #103
Phoenix
, Arizona 85014-4233
(855) 588-4647
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Shelly R Myers
- 4520 N 12th St Suite #103
- Phoenix, AZ
- Zip : 85014-4233
- Fax : (855) 588-4647
- Phone : (602) 753-2345
Second Address
- Shelly R Myers
- 4520 N 12th St Suite #103
- Phoenix, AZ
- Zip : 85014-4233
- Fax : (855) 588-4647
- Phone : (602) 753-2345
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 005397 | AZ |
National Provider Identifier
| NPI | 1265617013 |
|---|---|
| Provider Name | Shelly R Myers |
| First Address | Phoenix, AZ 85014-4233 |
| Second Address | Phoenix, AZ 85014-4233 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2007 |
| Last Update Date | 01/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.