Mikhail A Bargan, MD
Family Medicine in Surprise, AZ. Individual provider (NPI-1).
NPI number1790766533
StatusActive
Last updated in NPPESJul 5, 2019
Details
- NPI
- 1790766533
- Entity type
- Individual (NPI-1)
- Name
- Mikhail A Bargan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2005
- Last updated
- Jul 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 32864 | AZ | Yes |
| 207Q00000X | Family Medicine | L9035 | TX |
Practice location
15468 N Civic Center DrSurprise, AZ 85374
Phone 623-584-2917 · Fax 623-584-2945
Mailing address
Po Box 53568Phoenix, AZ 85072-3568
Phone 623-544-5063 · Fax 623-544-5094
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