Individual
MICHAEL DIMOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1850 N. CENTRAL AVE, STE 1600, PHOENIX, AZ 85004
(602) 528-6996
Mailing address
1850 N. CENTRAL AVE, STE 1600, PHOENIX, AZ 85004
(602) 528-6996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN102112
AZ
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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