Individual
MICHAEL JAMIL CANDELARIO TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5910 N LA CHOLLA BLVD, TUCSON, AZ 85741-3535
(520) 297-0404
Mailing address
5910 N LA CHOLLA BLVD, TUCSON, AZ 85741-3535
(520) 297-0404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9944
AZ
363A00000X
Physician Assistant
PA-1411
PR
Other
Enumeration date
03/09/2023
Last updated
11/11/2023
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