person
Mr. Michael Matthew Milam, PAC
Surgical Physician Assistant in Flagstaff, Arizona
NPI 1548250954

Michael Matthew Milam is a Surgical Physician Assistant based in Flagstaff, AZ and is specialized in Surgical. Michael Matthew Milam practices in Flagstaff, AZ and has the professional credentials of PAC. The NPI Number for Michael Matthew Milam is 1548250954 and holds a License No. 50-00-2337 (Arizona).

The current practice location address for Michael Matthew Milam is 525 N Switzer Canyon Dr, Flagstaff, AZ and can be reached out via phone at 928-773-2280 and via fax at 928-773-2281.

Location: 525 N Switzer Canyon Dr, Flagstaff, AZ, 86001-4845
person
Provider Profile Details
NPI Number
1548250954
Provider Name
Michael Matthew Milam
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
525 N Switzer Canyon Dr, Flagstaff, AZ, 86001-4845
Phone Number
928-773-2280
Fax Number
928-773-2281
Provider Enumeration Date
10/26/2005
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0283MI 01 WA REGENCE
1548250954 05 WA
415536 01 OH WELLCARE
0264600 01 WA L&I AND CRIME VICTIMS
000000377375 01 OH ANTHEM
200992 05 AZ
P00726959 01 OH RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
525 N Switzer Canyon Dr
City
State
Zip
86001-4845
Phone Number
928-773-2280
Fax Number
928-773-2281
person
Provider Business Mailing Address Details
Address
525 N Switzer Canyon Dr
City
State
Zip
86001-4845
Phone Number
928-773-2280
Fax Number
928-773-2281
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
50-00-2337 (Ohio)
Definition
Definition to come...
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