Michael Duffy, | |
1919 E Thomas Rd, Phoenix, AZ 85016-7710 | |
(602) 933-1000 | |
Not Available |
Full Name | Michael Duffy |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 1919 E Thomas Rd, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073241675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86172466 (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 86172466 (Arizona) | Primary |
Provider Name | Phoenix Children's Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
---|---|
Michael Duffy, 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-1813 | Michael Duffy, 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-1000 |
Mrs. Maria T Escobar, CSP, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 480-440-2787 | |
Jennie Altman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 | |
Mrs. Danielle Lafata, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3509 N 32nd St, Phoenix, AZ 85018 Phone: 480-399-7246 | |
Laura Grace Simmons, MS, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2713 W Pecan Rd, Phoenix, AZ 85041 Phone: 253-470-8399 Fax: 866-540-3225 | |
Miss Erika Josephine Barrera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16601 N 12th St Apt 1142, Phoenix, AZ 85022 Phone: 520-425-9698 | |
Melanie Shay Colville, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013 Phone: 602-406-3611 Fax: 602-406-4363 | |
Laura Lee, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 |