is a Physician Assistant in Chandler, Arizona. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1285745091. The last update date is .
's current location address is Po Box 12510, Chandler, Arizona. You can contact this provider via phone number 6237774747 and fax number 6237774748. The mailing address for is Po Box 12510, Chandler, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 12510, Chandler, Arizona |
| Phone Number | 6237774747 |
| Fax Number | 6237774748 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285745091 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 12510 |
|---|---|
| City | Chandler |
| State | Arizona (AZ) |
| Post Code | 852480026 |
| Phone Number | 6237774747 |
| Fax Number | 6237774748 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3462 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 133896 | AZ | -- |
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