Individual
MICA L ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3051 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2248
(801) 556-9860
Mailing address
3051 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2248
(801) 556-9860
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8197
AZ
Other
Enumeration date
01/29/2019
Last updated
05/12/2021
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