Provider Demographics
NPI:1194861427
Name:MICHAEL, CECIL FRANCES JR (MD)
Entity Type:Individual
Prefix:MR
First Name:CECIL
Middle Name:FRANCES
Last Name:MICHAEL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5940 W UNION HILLS DR
Mailing Address - Street 2:SUITE D-100
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1308
Mailing Address - Country:US
Mailing Address - Phone:602-978-2500
Mailing Address - Fax:602-938-2198
Practice Address - Street 1:5940 W UNION HILLS DR
Practice Address - Street 2:SUITE D-100
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1308
Practice Address - Country:US
Practice Address - Phone:602-978-2500
Practice Address - Fax:602-938-2198
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-07-19
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Provider Licenses
StateLicense IDTaxonomies
AZ10472208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ215120001Medicaid