RENATA MARY MIKETIC

PHOENIX, AZ
NPI1659536324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: AZ  69013)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: AZ  58534)
208600000X Surgery
(Licence: MI  4301092291)
207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: WI  63442)
207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: OH  35-126602)
207L00000X Anesthesiology
(Licence: WI  63442)
207L00000X Anesthesiology
(Licence: OH  35-126602)
207LP2900X Anesthesiology, Pain Medicine
(Licence: OH  35-126602)
Enumeration Date2008-07-22
Last Update Date2023-09-26
Business Address
Dr. RENATA MARY MIKETIC MD
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-1000
Mailing Address
Dr. RENATA MARY MIKETIC MD
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-0008
Phone number: 602-933-3124