Individual
DR. MICHAEL LEO MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85019
(602) 249-0212
Mailing address
948 E BECK LANE, PHOENIX, AZ 85022
(602) 789-6643
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2719
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156788
—
AZ
Enumeration date
12/23/2005
Last updated
07/08/2007
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