Provider Demographics
NPI:1144426586
Name:MYERS, BETSY K (DO)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:K
Last Name:MYERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:M
Other - Last Name:JANKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:163 E CASTLEFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5785
Mailing Address - Country:US
Mailing Address - Phone:520-262-4241
Mailing Address - Fax:
Practice Address - Street 1:3134 N SWAN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1227
Practice Address - Country:US
Practice Address - Phone:520-262-4241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2021-11-29
Deactivation Date:2014-10-28
Deactivation Code:
Reactivation Date:2021-05-18
Provider Licenses
StateLicense IDTaxonomies
AZ43902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry