Organization
MICHAEL T MEDCHILL, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MEDCHILL I M.D. (OWNER/PHYSICIAN)
(602) 264-1771
Entity
Organization
Contact information
Practice address
500 W THOMAS RD, SUITE 480, PHOENIX, AZ 85013-4224
(602) 264-1771
(602) 264-1661
Mailing address
PO BOX 51180, PHOENIX, AZ 85076-1180
(602) 264-1771
(602) 264-1661
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115156
—
AZ
Enumeration date
09/20/2013
Last updated
09/20/2013
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