MR. Juan Luis Miranda, PA

NPI #1679680045 in Avondale, Arizona

Provider Information

NPI Number: 1679680045
Entity Type: Individual
Name: MR. Juan Luis Miranda, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 13075 W MCDOWELL RD STE D106
City: Avondale
State: Arizona
ZIP Code: 85323-6437
Phone: (800) 819-8566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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