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Search › Arizona › 390200000X

Michael Mariano Nabong, MD

NPI 1659854420 · on the registry since 2018

Practice

Address
13995 W Statler Blvd Ste 200
Surprise, AZ 85374
Phone
(602) 478-3100
Organisation at this address
Richard Lee Averitte Jr., Pllc
Banner Physician Specialists Arizona Llc
Banner Primary Care Physicians Arizona Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
59

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
106S00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-05

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