ALEXIS DIANNE PEDERSEN

PHOENIX, AZ
NPI1306425970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  8682)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-02
Last Update Date2024-10-02
Business Address
ALEXIS DIANNE PEDERSEN PA C
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027-3969
Phone number: 623-582-6420
Mailing Address
ALEXIS DIANNE PEDERSEN PA C
25 CROSSROADS DR STE 306
OWINGS MILLS, MD 21117-5437
Phone number: