Individual
DR. MICHAEL DENICOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2132 E NORTHVIEW AVE, PHOENIX, AZ 85020-5661
(602) 615-8207
Mailing address
2132 E NORTHVIEW AVE, PHOENIX, AZ 85020-5661
(602) 615-8207
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
2103
AZ
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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