KADIN GABRIEL WILEY

PHOENIX, AZ
NPI1245853373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  10701)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-22
Last Update Date2024-12-19
Business Address
KADIN GABRIEL WILEY
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012-2806
Phone number: 602-230-7373
Mailing Address
KADIN GABRIEL WILEY
3101 N CENTRAL AVE STE 550
PHOENIX, AZ 85012-2635
Phone number: 602-230-7373