Individual
MICHAEL LEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 466-5432
Mailing address
1335 E BETH DR, PHOENIX, AZ 85042-7943
(480) 466-5432
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
299656
AZ
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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