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Individual

MICHAEL A MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4555 E INVERNESS AVE, SUITE 112, MESA, AZ 85206-4630
(480) 830-3900
Mailing address
PO BOX 30388, MESA, AZ 85275-0388
(480) 361-0124

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L-248367
MA
2080S0012X
Pediatric Sleep Medicine Physician
Primary
52665
AZ

Other

Enumeration date
06/10/2011
Last updated
10/10/2016
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