Individual
MICHAEL J ORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1855 E. SOUTHERN AVENUE, TEMPE, AZ 85282-5894
(480) 829-6100
(480) 446-7602
Mailing address
1855 E. SOUTHERN AVENUE, TEMPE, AZ 85282-5894
(480) 829-6100
(480) 446-7602
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
4275
AZ
208600000X
Surgery Physician
Primary
4275
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044930
—
AZ
01
—
2Z2488
HEALTHNET OF AZ
AZ
01
—
AZ0786380
AZ BCBS
AZ
Enumeration date
06/12/2006
Last updated
08/17/2023
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