Individual
MICHAEL HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63285
AZ
208M00000X
Hospitalist Physician
Primary
63285
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
04/06/2018
Last updated
07/16/2022
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