Individual
DR. MICHAEL TOM MEDCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD, STE 730, 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
174400000X
Specialist
Primary
20807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115156
—
AZ
Enumeration date
09/15/2006
Last updated
07/08/2007
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