Individual
KEVIN M WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 S DOBSON RD, SUITE 203, MESA, AZ 85202-4725
(480) 412-4839
Mailing address
1520 S DOBSON RD, SUITE 203, MESA, AZ 85202-4725
(480) 412-4839
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5450
AZ
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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