Michael M Etzl Jr., M.D.
Pediatrics, Pediatric Hematology-Oncology in Phoenix, AZ. Individual provider (NPI-1).
NPI number1285697490
StatusActive
Last updated in NPPESJan 17, 2013
Details
- NPI
- 1285697490
- Entity type
- Individual (NPI-1)
- Name
- Michael M Etzl Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Jan 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | 14377 | AZ | Yes |
Practice location
1919 E Thomas RdPhoenix, AZ 85016-7710
Phone 602-546-0920 · Fax 602-546-0276
Mailing address
1919 E Thomas RdBldg 2108, Suite 101
Phoenix, AZ 85016-7710
Phone 602-512-8029 · Fax 602-512-8161
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