Individual
MICHAELA JAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 W THOMAS RD STE 800, PHOENIX, AZ 85013-4217
(602) 406-1234
(602) 406-6368
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7574
AZ
363A00000X
Physician Assistant
PA181971
OR
363AS0400X
Surgical Physician Assistant
7574
AZ
Other
Enumeration date
03/13/2017
Last updated
05/28/2026
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