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Individual

MS. AMY ELIZABETH MICELI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2030 W WHISPERING WIND DR, PHOENIX, AZ 85085-2853
(623) 869-9080
(623) 869-9090
Mailing address
4510 E MICHIGAN AVE, PHOENIX, AZ 85032-1586
(602) 618-1177
(623) 869-9090

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4964
AZ

Other

Enumeration date
08/31/2011
Last updated
11/06/2014
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