Individual
MICHAEL J PREBIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
10401 WEST THUNDERBIRD BOULEVARD, SUN CITY, AZ 85351
(623) 977-7211
Mailing address
2100 POWELL STREET STE 920, EMERYVILLE, CA 94608-1803
(510) 350-2777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1030432
GA
363A00000X
Physician Assistant
Primary
1940
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399825
—
AZ
Enumeration date
05/10/2006
Last updated
07/08/2007
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