Individual
DR. CAMILLA ANN MICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E DUNLAP AVE, SUITE 1-475, PHOENIX, AZ 85020-2807
(602) 944-0202
(623) 875-8761
Mailing address
111 E DUNLAP AVE, SUITE 1-475, PHOENIX, AZ 85020-2807
(602) 944-0202
(623) 875-8761
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
14099
AZ
Other
Enumeration date
08/08/2006
Last updated
12/19/2014
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