Individual
MICHELLE MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3811 E BELL RD STE 300, PHOENIX, AZ 85032-2160
(602) 952-0002
(602) 224-9119
Mailing address
3811 E BELL RD STE 300, PHOENIX, AZ 85032-2160
(602) 952-0002
(602) 224-9119
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
43231
AZ
207RI0011X
Interventional Cardiology Physician
43231
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829246
—
AZ
Enumeration date
09/18/2007
Last updated
05/07/2021
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