NPI | 1134997471 |
---|---|
Doing Business As | PDS MEDICAL AZ |
Entity Type | Organization |
Authorized Contact | APRIL KING Credentialing Manager 469-221-5944 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2023-12-15 |
Last Update Date | 2024-01-26 |