Basic Information
| Provider Information | |||||||||
| NPI: | 1033684741 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MICHAEL JOSEPH PLLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | SURGICAL GROUP OF ARIZONA | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29455 N CAVE CREEK RD STE 118-451 | ||||||||
| Address2: | |||||||||
| City: | CAVE CREEK | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853313245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8444367874 | ||||||||
| FaxNumber: | 8553841967 | ||||||||
| Practice Location | |||||||||
| Address1: | 29455 N CAVE CREEK RD STE 118-451 | ||||||||
| Address2: | |||||||||
| City: | CAVE CREEK | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853313245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8444367874 | ||||||||
| FaxNumber: | 8553841967 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2018 | ||||||||
| LastUpdateDate: | 12/12/2019 | ||||||||
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| AuthorizedOfficialLastName: | STUMPF | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PROVIDER | ||||||||
| AuthorizedOfficialTelephone: | 8444367874 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
| NPICertificationDate: | 12/12/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.