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Surgical Physician Assistant

NPI: 1669198719IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

10269(AZ)

CMS Specialties

Education

OTHER

Class of 2023

Contact & Hours

Address
500 W THOMAS RD STE 800
PHOENIX, AZ 85013

Quick Facts

NPI
1669198719
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
3

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