Individual
MICHAEL MILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13838 S 46TH PL, SUITE 115, PHOENIX, AZ 85044-7800
(480) 496-0000
(480) 496-7235
Mailing address
801 W AZURE LN, LITCHFIELD PARK, AZ 85340-5087
(623) 882-1331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813635
—
AZ
Enumeration date
06/06/2006
Last updated
01/21/2025
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