Lisa Ann Rose Wadsworth MMS. PA-C

NPI 1114192317 - Physician Assistant - 363AM0700X

NPI Details
NPI 1114192317
Gender Female
Enumeration Date 04/28/2008
Last Updated 04/18/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
500 W THOMAS RD
SUITE 680
PHOENIX AZ, 85013-4224, US
Phone (602) 406-6017
Fax (602) 406-2144
Business Location
FILE 56765
LOS ANGELES CA, 90074-6765, US
Phone (602) 406-3860
Fax (602) 406-6132
Toxanomy
Taxonomy Code 363AM0700X
License State Arizona
License Number 2929
Remove 1114192317 NPI Number
 

According to our database, Ms. Lisa Ann Rose Wadsworth MMS. PA-C NPI is 1114192317, taxonomy code is 363AM0700X and license number is 2929, license state is located at Arizona. Lisa Ann Rose Wadsworth MMS. PA-C physically located at 500 W Thomas Rd, Phoenix AZ, 85013-4224. NPI Number Lisa Ann Rose Wadsworth MMS. PA-C has the Individual type.

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1114192317 NPI number is provided on an as is basis without warranty of any kind. 1114192317 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ann Rose Wadsworth MMS. PA-C are for informational purposes only.