Individual
DR. AUSTIN LEE NICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N 32ND ST, PHOENIX, AZ 85008-6205
(602) 839-3927
Mailing address
100 W INDIAN SCHOOL RD UNIT 2076, PHOENIX, AZ 85013-0027
(612) 384-4682
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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