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1508879131
MICHAEL BERKSHIRE
PHOENIX, AZ
NPI
1508879131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: AZ 4010)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- MICHAEL BERKSHIRE do
2525 E ROOSEVELT ST
PHOENIX, AZ 85008-4948
Phone number: 602-344-2002
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Mailing Address
-- MICHAEL BERKSHIRE do
3255 E ELWOOD ST #110
PHOENIX, AZ 85034-7256
Phone number: 602-470-5043
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