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Erin Leah Mickelson
Adult Medicine Physician in Prescott, Arizona
NPI 1508338732

Erin Leah Mickelson is an Adult Medicine Physician based in Prescott, AZ and is specialized in Adult Medicine. Erin Leah Mickelson practices in Prescott, AZ. The NPI Number for Erin Leah Mickelson is 1508338732 and holds a License No. 137284 (Arizona).

The current practice location address for Erin Leah Mickelson is 1542 Marvin Gardens Ln, Prescott, AZ and can be reached out via phone at 928-312-2011.

Location: 1542 Marvin Gardens Ln, Prescott, AZ, 86305-5086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508338732
Provider Name
Erin Leah Mickelson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1542 Marvin Gardens Ln, Prescott, AZ, 86305-5086
Phone Number
928-312-2011
Fax Number
Provider Enumeration Date
12/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1542 Marvin Gardens Ln
City
Prescott
State
Arizona
Zip
86301-5528
Phone Number
928-312-2011
Fax Number
person
Provider Business Mailing Address Details
Address
1542 Marvin Gardens Ln
City
Prescott
State
Arizona
Zip
86301-5528
Phone Number
928-312-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
137284 (Arizona)
Definition
Definition to come.
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