OrganizationActive
Agave Family Medicine
NPI 1407809387 · Family Medicine Physician · Tucson, AZ
Provider details
- NPI number
- 1407809387
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Charles Michieli, President
- License
- 33407 (AZ)
Practice location
8710 N Thornydale Rd
Ste 160
Tucson, AZ 85742-5031
Phone: (520) 744-2441
Mailing address
Po Box 43100
Tucson, AZ 85733-3100
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.