Healthcare Provider Details
I. General information
NPI: 1376707638
Provider Name (Legal Business Name): MICHELLA J SWITZER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/16/2008
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
655 S DOBSON RD STE 101
CHANDLER AZ
85224
US
IV. Provider business mailing address
655 S DOBSON RD STE 101
CHANDLER AZ
85224
US
V. Phone/Fax
- Phone: 480-459-2555
- Fax: 480-687-1802
- Phone: 480-459-2555
- Fax: 480-687-1802
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 005531 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 5531 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: