Mr. Michael Keene Demack, PACS
Mr. Michael Keene Demack, PACS is a Family Medicine Physician in Payson, Arizona. Licensed in Arizona and California. Registered with an NPI since 2007.
- Licensed in
- AZ, CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
806 S Ponderosa StPayson, AZ 85541-5541
Phone: (928) 468-8603
Fax: (928) 468-8625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 6422 (AZ) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence PA 14934 (CA) |
Record details
| NPI number | 1043347313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PACS |
| Sole proprietor | No |
| NPI enumerated | February 27, 2007 |
| Last updated in NPPES | April 19, 2017 |
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