Provider Demographics
NPI:1063772010
Name:SYERS, ERIN NICOLE (DO)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:NICOLE
Last Name:SYERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 S VAL VISTA DR
Mailing Address - Street 2:STE 203
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-7318
Mailing Address - Country:US
Mailing Address - Phone:480-821-3610
Mailing Address - Fax:480-821-3610
Practice Address - Street 1:3530 S VAL VISTA DR
Practice Address - Street 2:STE 203
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7318
Practice Address - Country:US
Practice Address - Phone:480-821-3610
Practice Address - Fax:480-821-3610
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005427207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology