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NPI Code Detail

MEDICARE: DR. MICHAEL H DERSHOWITZ DPM

MEDICARE:  DR. MICHAEL H DERSHOWITZ  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist0154AZ

General Provider Information

NPI Number : 1063401941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL H DERSHOWITZ DPM
Provider Business Mailing Address
First Line : 926 E MCDOWELL RD
Second Line : SUITE 121
City : PHOENIX
State : AZ
Zip : 85006-2503
Country : US
Telephone Number : 602-340-8686
Fax Number : 602-340-8061
Provider Business Practice Location Address
First Line : 926 E MCDOWELL RD
Second Line : SUITE 121
City : PHOENIX
State : AZ
Zip : 85006-2503
Country : US
Telephone Number : 602-340-8686
Fax Number : 602-340-8061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 03/21/2016

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Directions to “ DR. MICHAEL H DERSHOWITZ DPM” Practice Location

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