# ADOBE E.N.T. & ALLERGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083667521
- **Authorized official:** RICHARD ALAN MICKLE D.O. (OWNER)
- **Authorized official phone:** (480) 649-8150

## Contact information

- **Practice address:** 116 N. LINDSAY RD, STE. \#2, MESA, AZ 85213
- **Practice address phone:** (480) 649-8150
- **Practice address fax:** (480) 649-9905
- **Mailing address:** 116 N. LINDSAY RD., STE \#2, MESA, AZ 85213
- **Mailing address phone:** (480) 649-8150
- **Mailing address fax:** (480) 649-9905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 2767 | AZ | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 2767 | AZ | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 10/25/2011