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: AZ  45344)
207R00000X Internal Medicine
(Licence: SC  30177)
Enumeration Date2007-07-10
Last Update Date2022-09-30
Business Address
Dr. KELLI RAYNELL FAVATA M.D.
3420 S MERCY RD STE 211
GILBERT, AZ 85297-0424
Phone number: 866-974-2673
Mailing Address
Dr. KELLI RAYNELL FAVATA M.D.
18444 N 25TH AVE STE 310
PHOENIX, AZ 85023-1266
Phone number: 866-974-2673