Individual
MICHAEL ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2702 N 3RD ST, STE 1000, PHOENIX, AZ 85004-4605
(602) 241-1671
(602) 265-6258
Mailing address
2702 N 3RD ST, STE 1000, PHOENIX, AZ 85004-4605
(602) 241-1671
(602) 265-6258
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06563
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218562
—
AZ
Enumeration date
06/15/2005
Last updated
12/06/2011
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