Individual
MICHELLE R HITCHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13203 N 103RD AVE STE H5, SUN CITY, AZ 85351-3032
(623) 777-4747
Mailing address
13203 N 103RD AVE STE H5, SUN CITY, AZ 85351-3032
(623) 777-4747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3006
AZ
363AS0400X
Surgical Physician Assistant
3006
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3936
HEALTHNET
AZ
05
—
935041
—
AZ
Enumeration date
06/07/2006
Last updated
03/25/2025
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