NPI
Michael J Demangone
NPI 1841294378
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2005-06-13
- Last updated
- 2011-05-27
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Specialties
Licenses
- License AZ
- 21633
Location
- Practice location
- 463 S Lake Powell Blvd
- City
- Page AZ
- Postal code
- 86040-0790
- Phone
- (928) 645-0945
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Page, AZ. 183 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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