Individual
MR. MICHAEL CHAD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1635 E MYRTLE AVE, STE 400, PHOENIX, AZ 85020-5514
(602) 944-2900
(602) 944-0064
Mailing address
1635 E MYRTLE AVE, STE 400, PHOENIX, AZ 85020-5514
(602) 944-2900
(602) 944-0064
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2171
AZ
Other
Enumeration date
12/30/2005
Last updated
05/04/2022
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