Provider Demographics
NPI:1326040015
Name:MICHEL, DEBRA K (MD, FACP, FACR)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:K
Last Name:MICHEL
Suffix:
Gender:F
Credentials:MD, FACP, FACR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10238 E HAMPTON AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-3316
Mailing Address - Country:US
Mailing Address - Phone:480-984-8500
Mailing Address - Fax:480-984-1973
Practice Address - Street 1:10238 E HAMPTON AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85209-3316
Practice Address - Country:US
Practice Address - Phone:480-984-8500
Practice Address - Fax:480-984-1973
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ22776207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ23959OtherMEDICARE PTAN
AZAZ0814990OtherBCBS
AZ1326040015OtherNPI
AZCN9831OtherRR MEDICARE
AZCN9831OtherRR MEDICARE
AZAZ0814990OtherBCBS