Individual
MIKE S MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5620 E BELL RD, SCOTTSDALE, AZ 85254-5950
(602) 493-9361
(602) 889-0612
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
51004
AZ
390200000X
Student in an Organized Health Care Education/Training Program
200601853
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51004
LICENSE
AZ
Enumeration date
06/21/2007
Last updated
08/15/2015
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