Individual
MR. DAVID AARON MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
5815 N. BLACK CANYON HWY, #100, PHOENIX, AZ 85015-2200
(602) 249-0607
(602) 249-0741
Mailing address
5815 N. BLACK CANYON HWY, #100, PHOENIX, AZ 85015-2200
(602) 249-0607
(602) 249-0741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0461220
BCBS
AZ
Enumeration date
11/01/2006
Last updated
12/11/2007
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