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Contact Information

LYLE K MIYASHIRO, PA-C
9150 W INDIAN SCHOOL RD STE 131
PHOENIX, AZ85037
 Phone: 623-873-0112
 Fax: 623-873-1370
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LYLE K MIYASHIRO · (Male)

NPI Number 1235639196
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/17/2018
Last updated 09/18/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 7097
Hospital affiliation(s)
  • BANNER GATEWAY MEDICAL CENTER - (Acute Care)
    1900 NORTH HIGLEY ROAD
    GILBERT, AZ 85234
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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