Individual
MICHELLE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6116 E ARBOR AVE, SUITE 102, MESA, AZ 85206
(480) 654-2312
(480) 830-8506
Mailing address
121 E BROADWAY RD APT 24, TEMPE, AZ 85282-1327
(026) 501-3551
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
7569
AZ
363A00000X
Physician Assistant
Primary
7569
AZ
Other
Enumeration date
09/02/2019
Last updated
06/05/2023
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