Individual
MICHAEL OWEN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4425 E AGAVE RD STE 148, PHOENIX, AZ 85044-0623
(480) 704-7546
(480) 704-7549
Mailing address
PO BOX 61025, PHOENIX, AZ 85082-1025
(480) 681-3300
(480) 681-3301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
010270
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
05/08/2023
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