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NPI Code Detail

MEDICARE: HARRISON MIAO MD INC

MEDICARE: HARRISON MIAO MD INC
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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1710810536
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRISON MIAO MD INC
Provider Business Mailing Address
First Line : PO BOX 41150
Second Line :
City : MESA
State : AZ
Zip : 85274-1150
Country : US
Telephone Number : 480-425-2160
Fax Number : 480-839-4727
Provider Business Practice Location Address
First Line : 2421 E SOUTHERN AVE STE 7
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7612
Country : US
Telephone Number : 480-425-2160
Fax Number : 480-839-4727
Authorized Official
Title or Position : OWNER
Name : HARRISON MIAO
Credential : MD
Telephone Number : 480-425-2160
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “HARRISON MIAO MD INC ” Practice Location

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