Individual
AMANDA ROSE MIHALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0249
(602) 933-0755
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48380
AZ
208000000X
Pediatrics Physician
48380
AZ
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
48380
AZ
Other
Enumeration date
06/11/2010
Last updated
03/23/2018
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