Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 50341 | AZ |
NPI | 1063455178 |
---|---|
Provider Name | Dr. Daniel E Miga |
First Address | Mesa, AZ 85202-4778 |
Second Address | Mesa, AZ 85202-4778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 01/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02103208 | (05) | NY |
F89433 | (02) |