| Dr Michael G Macon, MD | |
|
7700 E Florentine Rd, Bldg B, Ste 203, Prescott Valley, AZ 86314-2245 | |
| (928) 442-8740 | |
| (928) 442-8142 |
| Full Name | Dr Michael G Macon |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 7700 E Florentine Rd, Prescott Valley, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174526222 | NPI | - | NPPES |
| 218939 | Medicaid | AZ | |
| 126571700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | D0030763 (Maryland) | Secondary |
| 208600000X | Surgery | 53388 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael G Macon, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5874 | Dr Michael G Macon, MD 7700 E Florentine Rd, Bldg B, Ste 203, Prescott Valley, AZ 86314-2245 Ph: (928) 442-8740 |
Donald John Huang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3262 N Windsong Dr Bldg 2, Prescott Valley, AZ 86314 Phone: 928-771-4788 Fax: 928-771-4788 | |
Dr. Demitra T Manjoros, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7700 E Florentine Rd, Bldg B, Ste. 203, Prescott Valley, AZ 86314 Phone: 928-442-8740 Fax: 928-442-8142 |