Individual
MICHAEL LEE SANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8687 E VIA DE VENTURA, SUITE 318, SCOTTSDALE, AZ 85258-3347
(480) 905-8755
(480) 905-8851
Mailing address
8687 E VIA DE VENTURA, STE 318, SCOTTSDALE, AZ 85258-3351
(480) 905-8755
(480) 905-8851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6577
AZ
Other
Enumeration date
10/19/2016
Last updated
12/12/2016
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