IndividualActive
Alex Mizan
NPI 1972738995 · Contractor · Phoenix, AZ
Provider details
- NPI number
- 1972738995
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26-4771263 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
5643 N. 37th Ave
Phoenix, AZ 85019-4506
Phone: (602) 301-1240
Fax: (602) 975-6379
Approximate (ZIP-level) locationGet directions
Mailing address
5643 N. 37th Ave
Phoenix, AZ 85019-4506
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2021-05-03
- Certified
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.