Michael D Dersam MD PC

NPI #1821269374 in Phoenix, Arizona

Provider Information

NPI Number: 1821269374
Entity Type: Organization
Organization Name: Michael D Dersam MD PC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 12, 2008
Last Updated: Mar 15, 2018

Practice Location

Address: 2222 E HIGHLAND AVE
Address 2: SUITE 425
City: Phoenix
State: Arizona
ZIP Code: 85016
Phone: (602) 667-6640

Authorized Official

Name: MR. MICHAEL DANIEL DERSAM, MD
Title: OWNER
Phone: (602) 667-6640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Orthopaedic Surgery	207X00000X	Primary

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