is a Physician Assistant in Peoria, Arizona. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1841242278. The last update date is .
's current location address is 13128 N 94th Dr, Peoria, Arizona. You can contact this provider via phone number 6238768816 and fax number 6232980168. The mailing address for is 13128 N 94th Dr, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 13128 N 94th Dr, Peoria, Arizona |
| Phone Number | 6238768816 |
| Fax Number | 6232980168 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1841242278 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 13128 N 94th Dr |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853814252 |
| Phone Number | 6238768816 |
| Fax Number | 6232980168 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110002318 |
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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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