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Contact Information

MICHAEL L MINTZ, DO
2000 W BETHANY HOME RD
PHOENIX, AZ85019
 Phone: 602-249-0212
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL L MINTZ · (Male)

NPI # 1316924095
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/23/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2719
  • AZ Medicaid 156788
Hospital affiliation(s)
  • JOHN C LINCOLN DEER VALLEY HOSPITAL - (Acute Care)
    19829 NORTH 27TH AVENUE
    PHOENIX, AZ 85027
  • ST LUKES MEDICAL CENTER - (Acute Care)
    1800 EAST VAN BUREN STREET
    PHOENIX, AZ 85006
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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