Individual
MIROSLAV ILIEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2438 E IVANHOE CT, GILBERT, AZ 85295-9021
(480) 789-2525
Mailing address
4001 E BASELINE RD STE 204, GILBERT, AZ 85234-2743
(480) 565-6440
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
252592
AZ
Other
Enumeration date
03/11/2021
Last updated
05/16/2023
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