Individual
LISA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA/RA (CBRPA)
Contact information
Practice address
1457 W SOUTHERN AVE STE 26, MESA, AZ 85202-4862
(480) 374-7354
(480) 371-1121
Mailing address
PO BOX 64568, PHOENIX, AZ 85082-4568
(480) 421-9700
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
13AZ1474
AZ
Other
Enumeration date
06/13/2013
Last updated
03/21/2016
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