Organization
AGAVE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A MICHIELI MD (PRESIDENT)
(520) 744-2441
Entity
Organization
Contact information
Practice address
8710 N THORNYDALE RD, STE 160, TUCSON, AZ 85742-5031
(520) 744-2441
Mailing address
PO BOX 43100, TUCSON, AZ 85733-3100
(520) 722-3777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33407
AZ
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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