Individual
DR. MEDO MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1432 S DOBSON RD, SUITE 301, MESA, AZ 85202-4768
(480) 464-9400
(480) 464-9401
Mailing address
1432 S DOBSON RD, SUITE 301, MESA, AZ 85202-4768
(480) 464-9400
(480) 464-9401
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
17426
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27694001
AHCCCS
AZ
05
—
27694001
—
AZ
Enumeration date
01/24/2006
Last updated
04/23/2009
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