| Dr Roxanne Cano Mickelson, MD | |
| 
					34800 Bob Wilson Dr, San Diego, CA 92134-1098  | |
| (619) 553-9600 | |
| Not Available | 
| Full Name | Dr Roxanne Cano Mickelson | 
|---|---|
| Gender | Female | 
| Speciality | Otolaryngology | 
| Location | 34800 Bob Wilson Dr, San Diego, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295081248 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | M-17464 (Idaho) | Secondary | 
| 207Y00000X | Otolaryngology | P8160 (Texas) | Primary | 
| Entity Name | Roswell Clinic Corp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Roxanne Cano Mickelson, MD 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: () -  | Dr Roxanne Cano Mickelson, MD 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (619) 553-9600  | 
Dr. Jesse Raia Qualliotine, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781  | |
Sapideh Gilani, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # Mc8895, Division Of Otolaryngology Ucsd, San Diego, CA 92103 Phone: 619-543-7895  | |
Dr. Sassan Alavi, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3023 Bunker Hill St, Suite 204, San Diego, CA 92109 Phone: 858-483-0690  | |
Dr. Kevin Thomas Brumund, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr Dept 8895, San Diego, CA 92103 Phone: 619-543-5910 Fax: 619-543-5521  | |
Pierre G. Rivet, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4033 3rd Ave, Suite 104, San Diego, CA 92103 Phone: 619-294-2350 Fax: 619-296-5719  | |
Ronald T. Benz, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10243 Genetic Center Dr, San Diego, CA 92121 Phone: 858-526-6136 Fax: 858-526-6117  | |
Dr. Jeffrey Watson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3350 La Jolla Village Dr, M/c 9112-c, San Diego, CA 92161 Phone: 858-642-3637  |