Individual
GERTRUDE MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
435 N 5TH ST, PHOENIX, AZ 85004-2157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9250
AZ
363A00000X
Physician Assistant
PA61477339
WA
Other
Enumeration date
06/03/2022
Last updated
08/30/2024
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