Individual
MICHAEL VAN OPEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R N F A
Contact information
Practice address
1715 W NORTHERN AVE, PHOENIX, AZ 85021-5472
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN032563
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0163720
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/08/2006
Last updated
07/08/2007
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