MEDICARE: DR. ROBIN S MYERS DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	0596	AZ
2	213EP1101X	Primary Podiatric Medicine Podiatrist	1521	TX

General Provider Information

NPI Number	:	1770576308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN S MYERS DPM

Provider Business Mailing Address
First Line	:	3915 N VIA AVELLANA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-7267
Country	:	US
Telephone Number	:	520-615-9877
Fax Number	:	520-615-9877

Provider Business Practice Location Address
First Line	:	3915 N VIA AVELLANA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-7267
Country	:	US
Telephone Number	:	520-615-9877
Fax Number	:	520-615-9877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	08/08/2013

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