DR. MICHAEL N DESVIGNE M.D.
Surgery Yellow Pages
Glendale, Arizona
Provider NPI: 1356336317
Provider Information:DR. MICHAEL N DESVIGNE M.D.
Practice Location:
6320 W. UNION HILLS DR, BLDG A, STE 140 GLENDALE, AZ 85308 US
Tel: 480-471-8700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 208200000X | Physicians Plastic Surgery | AZ | 35062 |
Y | 2086S0122X | Physicians Surgery | AZ | 35062 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
111684 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin