MICHELLE DIBAISE

PHOENIX, AZ
NPI1568847267
Former NameMICHELLE SHUMWAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  3633)
Enumeration Date2015-07-22
Last Update Date2015-07-22
Business Address
-- MICHELLE DIBAISE PA-C
230 S 12TH AVE HEALTHCARE FOR THE HOMELESS
PHOENIX, AZ 85007-3101
Phone number: 602-827-2420
Mailing Address
-- MICHELLE DIBAISE PA-C
550 N 3RD ST # STREET-2 SHOW CLINIC #510 BB
PHOENIX, AZ 85004-2154
Phone number:
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