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NPI Code Detail

MEDICARE: MICHAEL GIVENS JR. M.D.

MEDICARE:   MICHAEL  GIVENS JR. M.D.
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
1208600000XSurgery PhysicianR73591AZ
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician54587AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
154587OTHERAZAZ MD LICENSE #54587
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851656771
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GIVENS JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 13146
Second Line :
City : CHANDLER
State : AZ
Zip : 85248-0036
Country : US
Telephone Number : 623-337-0901
Fax Number :
Provider Business Practice Location Address
First Line : 1450 W GUADALUPE RD STE 124
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3056
Country : US
Telephone Number : 480-307-8258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2012
Last Update Date : 07/20/2021

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Directions to “ MICHAEL GIVENS JR. M.D.” Practice Location

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