person
Michelle Dibaise, PA-C
Medical Physician Assistant in Phoenix, Arizona
NPI 1568847267

Michelle Dibaise is a Medical Physician Assistant based in Phoenix, AZ and is specialized in Medical. Michelle Dibaise practices in Phoenix, AZ and has the professional credentials of PA-C. The NPI Number for Michelle Dibaise is 1568847267 and holds a License No. 3633 (Arizona).

The current practice location address for Michelle Dibaise is 230 S 12Th Ave, Phoenix, AZ and can be reached out via phone at 602-827-2420 and via fax at 602-827-2425.

Location: 230 S 12Th Ave, Phoenix, AZ, 85004-2154
person
Provider Profile Details
NPI Number
1568847267
Provider Name
Michelle Dibaise
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
230 S 12Th Ave, Phoenix, AZ, 85004-2154
Phone Number
602-827-2420
Fax Number
602-827-2425
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
230 S 12Th Ave
City
State
Zip
85007-3101
Phone Number
602-827-2420
Fax Number
602-827-2425
person
Provider Business Mailing Address Details
Address
230 S 12Th Ave
City
State
Zip
85007-3101
Phone Number
602-827-2420
Fax Number
602-827-2425
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3633 (Arizona)
Definition
Definition to come...
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