Individual
DR. MAX S. MIROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 EL CAMINO REAL, SIERRA VISTA, AZ 85635-2812
(520) 335-1800
(520) 335-2743
Mailing address
PO BOX 609, HEREFORD, AZ 85615-0609
(520) 335-1800
(520) 335-2743
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
47745
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907844
—
AZ
Enumeration date
10/26/2006
Last updated
08/26/2014
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