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NPI Code Detail

MEDICARE: MICHAEL ROCKWELL MD

MEDICARE: MICHAEL ROCKWELL MD
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
1174400000XSpecialist06563AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881699064
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ROCKWELL MD
Provider Business Mailing Address
First Line : 2702 N 3RD ST
Second Line : STE 1000
City : PHOENIX
State : AZ
Zip : 85004-4605
Country : US
Telephone Number : 602-241-1671
Fax Number : 602-265-6258
Provider Business Practice Location Address
First Line : 2702 N 3RD ST
Second Line : STE 1000
City : PHOENIX
State : AZ
Zip : 85004-4605
Country : US
Telephone Number : 602-241-1671
Fax Number : 602-265-6258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 12/06/2011

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Directions to “ MICHAEL ROCKWELL MD” Practice Location

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