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Contact Information

SHELLY R MYERS, DO
4520 N 12TH ST
SUITE #103
PHOENIX, AZ85014-4233
 Phone: 602-753-2345
 Fax: 855-588-4647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SHELLY R MYERS · (Female)

NPI Number 1265617013
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/28/2007
Last updated 03/01/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 005397
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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