Individual
MICHAEL ANTHONY CHIECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2925 E RIGGS RD, SUITE 8-114, CHANDLER, AZ 85249-3600
(480) 513-8032
Mailing address
2925 E RIGGS RD, SUITE 8-114, CHANDLER, AZ 85249-3600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3400
AZ
363AM0700X
Medical Physician Assistant
3400
AZ
363AS0400X
Surgical Physician Assistant
Primary
3400
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111981
—
AZ
Enumeration date
07/04/2006
Last updated
06/07/2023
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