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1871599688
DAVID J MICKUS
TEMPE, AZ
NPI
1871599688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AZ 20825)
Enumeration Date
2005-06-27
Last Update Date
2011-02-11
Business Address
-- DAVID J MICKUS MD
4515 S MCCLINTOCK DR STE 100
TEMPE, AZ 85282-7381
Phone number: 480-820-1133
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Mailing Address
-- DAVID J MICKUS MD
4515 S MCCLINTOCK DR STE 100
TEMPE, AZ 85282-7381
Phone number: 480-820-1133
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