Individual
DR. KENNETH J MISHARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25611
AZ
208M00000X
Hospitalist Physician
32703
MN
Other
Enumeration date
11/23/2005
Last updated
10/08/2020
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