Individual
DR. JUDITH ANN MICKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
13949 W MEEKER BLVD, SUITE C, SUN CITY WEST, AZ 85375-4436
(623) 975-1660
(623) 975-1654
Mailing address
13949 W MEEKER BLVD, SUITE C, SUN CITY WEST, AZ 85375-4436
(623) 975-1660
(623) 975-1654
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA4649
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA4649
DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
01/17/2008
Last updated
03/11/2022
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