TY NIELSON

PHOENIX, AZ
NPI1871988980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2015-04-06
Last Update Date2017-08-21
Business Address
-- TY NIELSON
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044-0623
Phone number: 480-704-7546
Mailing Address
-- TY NIELSON
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044-0623
Phone number:
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