Individual
SHELLY R MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4520 N 12TH ST, SUITE #103, PHOENIX, AZ 85014-4233
(602) 753-2345
(855) 588-4647
Mailing address
4520 N 12TH ST, SUITE #103, PHOENIX, AZ 85014-4233
(602) 753-2345
(855) 588-4647
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
005397
AZ
Other
Enumeration date
12/28/2007
Last updated
03/01/2013
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