Individual
DR. MICHELLE TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., M.P.H.
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6119
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007797
AZ
Other
Enumeration date
04/14/2015
Last updated
03/22/2019
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