Mikut, Gregory David

Mikut, Gregory David is an individual health care provider with primary practice located at 12361 W Bola Dr Ste 100 , Surprise AZ 85378-9021. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Mikut, Gregory David can be contacted via phone (602) 641-9486.

Contact Information

Primary practice address
12361 W Bola Dr Ste 100 Surprise AZ 85378-9021
Phone: (602) 641-9486
Fax: (480) 500-8430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN169267 Arizona

Profile Details

NPI number 1114582590
LBN Legal business name Mikut, Gregory David
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2019
Last updated Oct 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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