Mirot, Max S.

Mirot, Max S. is an individual health care provider with primary practice located at 300 El Camino Real , Sierra Vista AZ 85635-2812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mirot, Max S. can be contacted via phone (520) 335-1800.

Contact Information

Primary practice address
300 El Camino Real Sierra Vista AZ 85635-2812
Phone: (520) 335-1800
Fax: (520) 335-2743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 47745 Wisconsin

Profile Details

NPI number 1316022411
LBN Legal business name Mirot, Max S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 26th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316022411 NPPES
Arizona MEDICAID 907844

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