Individual
ALEX K. MIZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5643 N. 37TH AVE, PHOENIX, AZ 85019-4506
(602) 301-1240
(602) 975-6379
Mailing address
5643 N. 37TH AVE, PHOENIX, AZ 85019-4506
(602) 301-1240
(602) 975-6379
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
26-4771263
AZ
Other
Enumeration date
05/19/2009
Last updated
05/03/2021
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