Basic Information
Provider Information
NPI: 1205872470
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EYLER
FirstName: MICHELLE
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5055 E BROADWAY BLVD STE A100
Address2: ARIZONA COMMUNITY PHYSICIANS PC
City: TUCSON
State: AZ
PostalCode: 857113629
CountryCode: US
TelephoneNumber: 5203270460
FaxNumber: 5207950225
Practice Location
Address1: 340 W PRINCE ROAD SUITE 100
Address2: ORACLE PRINCE FAMILY PRACTICE
City: TUCSON
State: AZ
PostalCode: 85705
CountryCode: US
TelephoneNumber: 5208873600
FaxNumber: 5208876331
Other Information
ProviderEnumerationDate: 06/22/2006
LastUpdateDate: 12/14/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X2935AZY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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