Individual
MICHAEL ELLIS HITZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 W FOUNTAINHEAD PKWY, SUITE 295, TEMPE, AZ 85282-1868
(866) 495-6738
(800) 398-6182
Mailing address
808 E CORTE ORO, PHOENIX, AZ 85020-3773
(602) 549-2759
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22521
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751348
—
AZ
Enumeration date
05/25/2006
Last updated
07/09/2007
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