Doctor Name: | MICHAEL J MILAZZO |
NPI Number: | 1548593510 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O |
License Number: | 1887 |
Business Practice Address: | 108 Arizona St Bisbee, AZ - 856031804 |
Business Phone Number: | 5204323309 |
Business Fax Number: | 5203644261 |
Mailing Address: | 1205 F Ave, DOUGLAS |
State: | AZ |
Postal Code: | 856071920 |
Phone Number: | 5203641429 |
Fax Number: | 5203644261 |
NPI Enumeration Date: | 09/09/2009 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |