MR. Michael Keene Demack, PA C S

NPI #1043347313 in Payson, Arizona

Provider Information

NPI Number
1043347313
Entity Type
Individual
Name
MR. Michael Keene Demack, PA C S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA C S
Enumeration Date
Feb 27, 2007
Last Updated
Apr 19, 2017

Practice Location

Address
806 S PONDEROSA ST
City
Payson
State
Arizona
ZIP Code
85541-5541
Phone
(928) 468-8603

Specialties & Taxonomy Codes

Specialty
Family Medicine
Physician Assistant - MedicalMedical

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