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Contact Information

JAMES M MICK, MD
2120 CENTERPOINTE WEST DRIVE
PRESCOTT, AZ86301
 Phone: 928-443-1111
 Fax: 928-443-5554
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JAMES M MICK · (Male)

NPI Number 1336118926
Status Active
Credentials MD
Entity Individual
Enumeration date 03/16/2006
Last updated 05/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 16159
  • AZ Medicaid 258097
Hospital affiliation(s) Not Available
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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