ELYSIA SMALL

FLAGSTAFF, AZ
NPI1174074991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  6563)
Enumeration Date2016-10-17
Last Update Date2024-07-25
Business Address
ELYSIA SMALL PA
1501 S YALE ST BUILDING 2 SUITE 150
FLAGSTAFF, AZ 86001-7304
Phone number: 928-527-4325
Mailing Address
ELYSIA SMALL PA
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 702-954-7761
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