KELLI ANN MERCADO

GOODYEAR, AZ
NPI1255426870
Former NameKELLI ANN DIPATRIZIO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  3060)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: AZ  3060)
Enumeration Date2006-10-03
Last Update Date2019-01-16
Business Address
Mrs. KELLI ANN MERCADO PA
2700 N 140TH AVE STE 107
GOODYEAR, AZ 85395-2439
Phone number: 623-535-8770
Mailing Address
Mrs. KELLI ANN MERCADO PA
2700 N 140TH AVE STE 107
GOODYEAR, AZ 85395-2439
Phone number: 623-535-8770