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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Medical Physician Assistant · SAN LUIS, AZ

Registration Details

NPI Number
1972014900
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2017 (8.5207077795583 yrs)
Last Updated
Feb 14, 2019
License
6792 (AZ)

Practice Information

Address
815 E JUAN SANCHEZ BLVD
SAN LUIS, AZ, 85349
Browse AZ providers · Browse ZIP 85349
Phone
9286273822
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in SAN LUIS, AZ

Name Credential NPI
GERARDO OCHOA SANCHEZ PA 1437267424
NATHANIEL SPENCER HARRIMAN M.S.S., PA-C 1053862300
ANGELES OLIVAREZ 1316601552
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.