Individual
MIRANDA SALIB ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 E BELL ROAD, SUITE 172, PHOENIX, AZ 85032
(480) 443-8400
(480) 443-8697
Mailing address
4550 E BELL RD, SUITE 172, PHOENIX, AZ 85032-9306
(480) 443-8400
(480) 443-8697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
5110
AZ
Other
Enumeration date
12/13/2011
Last updated
03/19/2013
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