Provider Demographics
NPI:1053608018
Name:BETTS, STEPHANIE K (DO)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:K
Last Name:BETTS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:333 EAST CAMPUS MALL
Mailing Address - Street 2:UHS PRIMARY CARE
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1365
Mailing Address - Country:US
Mailing Address - Phone:608-265-5600
Mailing Address - Fax:608-262-0674
Practice Address - Street 1:333 EAST CAMPUS MALL
Practice Address - Street 2:UHS PRIMARY CARE
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1365
Practice Address - Country:US
Practice Address - Phone:608-265-5600
Practice Address - Fax:608-262-0674
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2018-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI67187207Q00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine