Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 35977 | AZ |
N | 208800000X | Urologist | MD13405R | LA |
NPI | 1023074184 |
---|---|
Provider Name | Dr. Micheal F. Darson |
First Address | Scottsdale, AZ 85255-6703 |
Second Address | Scottsdale, AZ 85255-6703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 06/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1429554 | (05) | LA |
149675 | (05) | AZ |
G21692 | (02) |