Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 36511 | AZ |
NPI | 1801923131 |
---|---|
Provider Name | Mr. Michael James Fitzmaurice |
First Address | Scottsdale, AZ 85260-1535 |
Second Address | Scottsdale, AZ 85260-1535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 15/11/2016 |