Individual provider · NPI-1
Michael Anthony Albertson, PA-C
Physician Assistant · Glendale, AZ
NPI number1477059012
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1477059012
- Entity type
- Individual (NPI-1)
- Name
- Michael Anthony Albertson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2018
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 7037 | AZ | Yes |
Other names
- Tony Albertson (Other Name)
Practice location
8608 N 59th AveGlendale, AZ 85302-5404
Phone 623-979-2565 · Fax 623-979-2463
Mailing address
8608 N 59th AveGlendale, AZ 85302-5404
Phone 623-979-2565 · Fax 623-979-2463
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