Individual
DANIEL JOSEPH MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12665 W SMOKEY DR STE 140, SURPRISE, AZ 85378-3732
(623) 219-4040
Mailing address
5601 W EUGIE AVE STE 100, GLENDALE, AZ 85304-1256
(602) 298-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8196
AZ
Other
Enumeration date
10/10/2020
Last updated
02/13/2023
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