KATHLEEN A DREVITSON

PHOENIX, AZ
NPI1710952510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AZ  RN016586)
Enumeration Date2006-02-23
Last Update Date2010-12-10
Business Address
-- KATHLEEN A DREVITSON CRNFA
1850 N CENTRAL AVE SUITE 1600
PHOENIX, AZ 85004-4527
Phone number: 602-744-4760
Mailing Address
-- KATHLEEN A DREVITSON CRNFA
PO BOX 34864
PHOENIX, AZ 85067-4864
Phone number: 602-744-4760