Individual
DR. DAN B MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 E GUADALUPE RD, SUITE 105, GILBERT, AZ 85234-5116
(480) 855-6292
(480) 855-6293
Mailing address
PO BOX 52500, MESA, AZ 85208-0125
(480) 855-6292
(480) 855-6293
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
34134
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943424
—
AZ
Enumeration date
02/16/2006
Last updated
02/29/2016
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