Healthcare Provider Details

I. General information

NPI: 1922065127
Provider Name (Legal Business Name): MICHAEL ANTHONY ARANDA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 S WILLARD ST STE 107
COTTONWOOD AZ
86326-6744
US

IV. Provider business mailing address

450 S WILLARD ST STE 107
COTTONWOOD AZ
86326-6744
US

V. Phone/Fax

Practice location:
  • Phone: 928-632-4909
  • Fax: 928-632-4973
Mailing address:
  • Phone: 928-649-6080
  • Fax: 928-649-6080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3831
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: