NPI #
19555 N 59Th Ave
Glendale, AZ, 85308-6813
PA.0008871
CO
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
363A00000X
937 Franklin Blvd
Lemoore, CA, 93246-4700
500 W Thomas Rd Ste 850
Phoenix, AZ, 85013-4218