Kevin Earlywine PA-C

NPI 1023083144 - Physician Assistant - 363A00000X

NPI Details
NPI 1023083144
Gender Male
Enumeration Date 02/22/2006
Last Updated 04/22/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
40773 N IRONWOOD DR
SAN TAN VALLEY AZ, 85140-7002, US
Phone (602) 714-1271
Fax (480) 987-6566
Business Location
1250 S CLEARVIEW AVE STE 100
MESA AZ, 85209-3378, US
Phone (480) 988-9108
Fax (480) 813-4460
Toxanomy
Taxonomy Code 363A00000X
License State Arizona
License Number 2140
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According to our database, Kevin Earlywine PA-C NPI is 1023083144, taxonomy code is 363A00000X and license number is 2140, license state is located at Arizona. Kevin Earlywine PA-C physically located at 40773 N Ironwood Dr, San Tan Valley AZ, 85140-7002. NPI Number Kevin Earlywine PA-C has the Individual type.

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1023083144 NPI number is provided on an as is basis without warranty of any kind. 1023083144 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Earlywine PA-C are for informational purposes only.