Organization
AMY J DAROS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J DAROS DO (OWNER PRESIDENT)
(810) 230-0338
Entity
Organization
Contact information
Practice address
5065 MILLER RD, FLINT, MI 48507-1037
(810) 230-0338
(810) 230-0595
Mailing address
PO BOX 887, GRAND BLANC, MI 48480-0887
(810) 230-0338
(810) 230-0595
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
5101012998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0856311114
BLUE CROSS BLUE SHIELD
MI
05
—
4250600
—
MI
Enumeration date
11/13/2006
Last updated
11/06/2007
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