Individual
MIKEL P VARTANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
(251) 441-6401
Mailing address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
(251) 441-6878
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2197
AL
363A00000X
Physician Assistant
PA9115801
FL
Other
Enumeration date
02/02/2022
Last updated
08/04/2024
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