Individual
ASHLEY THAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 521-5700
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 521-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7392
AZ
Other
Enumeration date
12/26/2018
Last updated
08/21/2023
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