Amanda E Shelley PA-C

NPI 1003993916 - Physician Assistant - 363A00000X

NPI Details
NPI 1003993916
Gender Female
Enumeration Date 11/01/2006
Last Updated 11/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2196 E WILLIAMS FIELD RD
#116
GILBERT AZ, 85295-0754, US
Phone (480) 237-1395
Fax (602) 218-4076
Business Location
2196 E WILLIAMS FIELD RD
#116
GILBERT AZ, 85295-0754, US
Phone (480) 237-1395
Fax (855) 588-4647
Toxanomy
Taxonomy Code 363A00000X
License State Arizona
License Number 3264
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According to our database, Amanda E Shelley PA-C NPI is 1003993916, taxonomy code is 363A00000X and license number is 3264, license state is located at Arizona. Amanda E Shelley PA-C physically located at 2196 E Williams Field Rd, Gilbert AZ, 85295-0754. NPI Number Amanda E Shelley PA-C has the Individual type.

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1003993916 NPI number is provided on an as is basis without warranty of any kind. 1003993916 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda E Shelley PA-C are for informational purposes only.