Individual
MR. LYLE K MIYASHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9150 W INDIAN SCHOOL RD STE 131, PHOENIX, AZ 85037
(623) 873-0112
(623) 873-1370
Mailing address
1140 E LA MIRADA DR, PHOENIX, AZ 85042-8387
(480) 567-8202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7097
AZ
Other
Enumeration date
02/17/2018
Last updated
09/18/2025
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