Mira Vita Metamophosis, LLC
Mira Vita Metamophosis, LLC is an Internal Medicine Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2014.
- Licensed in
- AZ
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5620 W Thunderbird Rd Ste H2Glendale, AZ 85306-4653
Phone: (480) 407-9007
Fax: (833) 817-6790
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 4223 (AZ) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
Record details
| NPI number | 1073910873 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Derosa — Owner · (480) 619-4097 |
| NPI enumerated | November 24, 2014 |
| Last updated in NPPES | January 30, 2020 |
| Certification date | January 30, 2020 |
| Mailing address | 5620 W Thunderbird Rd Ste H2, Glendale, AZ 85306-4653 |
Other providers in Glendale
-
Paul Mazzarella, MD
7802 N 43rd Ave 5, Glendale, AZ 85301-8111 · (623) 915-1000
-
Nicole M McGuire, MD
5555 W Thunderbird Rd, Glendale, AZ 85306-4622 · (602) 865-5555
-
Dr. Anthony Patterson Merrill, DO
20100 N 51st Ave Ste F620, Glendale, AZ 85308-5084 · (623) 376-6328
-
Joel Metelits, MD
5750 W Thunderbird Rd Ste E500, Glendale, AZ 85306-4669 · (602) 938-6960
-
Wassim Mohamad-Said, DO
5555 W Thunderbird Rd, Glendale, AZ 85306-4622 · (602) 865-5555
-
Casondra Moore, DO
7330 N 99th Ave Ste 200A, Glendale, AZ 85307-3003 · (623) 433-0202
-
Dr. Jeffrey William Morgan, DO
5859 W Talavi Blvd Ste 165, Glendale, AZ 85306-1869 · (602) 548-7800
-
Varuzhan Movsesyan, DO
17100 N 67th Ave Ste 300, Glendale, AZ 85308-3605 · (626) 397-5485