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Individual

ALI BV MCMICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1784
(602) 933-4298
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-3124
(602) 933-1820

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
66985
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Q8957
TX
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
04/26/2010
Last updated
09/13/2022
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