Individual
MICHAEL GIVENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 W GUADALUPE RD STE 124, GILBERT, AZ 85233-3056
(480) 307-8258
Mailing address
PO BOX 13146, CHANDLER, AZ 85248-0036
(623) 337-0901
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
54587
AZ
208600000X
Surgery Physician
R73591
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278955
—
AZ
01
—
54587
AZ MD LICENSE #54587
AZ
Enumeration date
07/06/2012
Last updated
07/20/2021
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