Individual
JEFFREY T MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
890 W ELLIOT RD, SUITE 24, GILBERT, AZ 85233-5102
(480) 545-2787
(480) 545-1434
Mailing address
890 W ELLIOT RD, 102, TEMPE, AZ 85233-0000
(480) 545-2787
(480) 545-1434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
05/27/2016
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