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KRYSTEN PROVENCIO
Physician Assistant
NPI: 1770350761IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
10672(AZ)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2024
Contact & Hours
Via practice · 2 locations total
- Address
- 13555 W MCDOWELL RD STE 200
GOODYEAR, AZ 85395 - Phone
- (480) 756-6000
Quick Facts
- NPI
- 1770350761
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 2
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