NPI 1174968127

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Practitioner Physician Assistant Florence, AZ

Practice location

Address: 1155 N Pinal Pkwy, Florence, AZ 85132-8867
Phone: (520) 868-3668
Mailing address: 693 N El Dorado Dr, Gilbert, AZ 85233-3508

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1519 (AZ)

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Registry record

NPI: 1174968127
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2013
Record last updated: 3 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.