KELLI RAYNELL FAVATA

GILBERT, AZ
NPI1184822348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist
(Licence: AZ  45344)
Additional Taxonomies207R00000X Internal Medicine
(Licence: SC  30177)
207R00000X Internal Medicine
(Licence: AZ  45344)
Enumeration Date2007-07-10
Last Update Date2025-02-15
Business Address
Dr. KELLI RAYNELL FAVATA M.D.
3530 S VAL VISTA DR STE B210
GILBERT, AZ 85297-7318
Phone number: 800-991-6117
Mailing Address
Dr. KELLI RAYNELL FAVATA M.D.
3820 NORTHDALE BLVD STE 201
TAMPA, FL 33624-1893
Phone number: 800-911-6117