Search › Arizona › Medical Physician Assistant
Michael Demack, PA C S
NPI 1043347313 · on the registry since 2007
Practice
- Address
- 806 S Ponderosa St
Payson, AZ 85541 - Phone
- (928) 468-8603
- Fax
- (928) 468-8625
- Organisation at this address
- Lone Wolf Medicine, Inc
Ponderosa Family Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Family Medicine Physician
- Licence states on file
- CA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona