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Organization

ADOBE E.N.T. & ALLERGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD ALAN MICKLE D.O. (OWNER)
(480) 649-8150
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
05/18/2006
Last updated
10/25/2011
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