Individual
ALAN P MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
806 S PONDEROSA ST, PAYSON, AZ 85541-5541
(928) 468-8603
(928) 468-8625
Mailing address
PO BOX 2901, PAYSON, AZ 85547-2901
(928) 468-9280
(928) 468-9280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29337
AZ
208000000X
Pediatrics Physician
29337
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
703422
—
AZ
Enumeration date
03/15/2006
Last updated
09/18/2014
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