Individual
MICHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD SURGICAL SUITE, PHOENIX, AZ 85013-4409
(602) 406-3541
(602) 406-7135
Mailing address
240 W THOMAS RD # 301, PHOENIX, AZ 85013-4407
(602) 406-7765
(602) 294-5519
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
55519
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383313
—
AZ
Enumeration date
04/30/2014
Last updated
10/11/2024
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