Individual
MIRANDA NOWLIN FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.- C
Contact information
Practice address
1919 E THOMAS RD, MAIN BUILDING, PHOENIX, AZ 85016-7710
(602) 933-3033
(602) 241-0292
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3718
AZ
363AM0700X
Medical Physician Assistant
3718
AZ
363AS0400X
Surgical Physician Assistant
3718
AZ
Other
Enumeration date
10/18/2007
Last updated
06/22/2021
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