NPI 1073910758
Michael Wilson
Practice location
- Address
- 202 E Earll Dr Suite 200, Phoenix, AZ 85012-2634
- Phone
- (602) 808-2800
- Mailing address
- 202 E Earll Dr Suite 200, Phoenix, AZ 85012-2647
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1073910758
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Nov 2014
- Record last updated
- 25 Nov 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.