Individual
MR. DAVID B MIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4701 W GROVERS AVE, GLENDALE, AZ 85308-3460
(602) 467-5700
(602) 467-5780
Mailing address
4701 W GROVERS AVE, GLENDALE, AZ 85308-3460
(602) 467-5700
(602) 467-5780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0750
AZ
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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