Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL KEENE DEMACK, PA C S
ActiveMR. MICHAEL KEENE DEMACK, PA C S is a Medical Physician Assistant healthcare provider located in PAYSON, Arizona. NPI 1043347313 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PAYSON, AZ
Registration Details
- NPI Number
- 1043347313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.435067932498 yrs)
- Last Updated
- Apr 19, 2017
- Licenses
-
PA 14934 (CA)6422 (AZ)
Practice Information
- Address
-
806 S PONDEROSA STPAYSON, AZ, 855415541Browse AZ providers · Browse ZIP 85541
- Phone
- 9284688603
- Fax
- 9284688625
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in PAYSON, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD D HOBSON | PA-C | 1467590174 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.