Individual
GLADYS ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1508
Mailing address
4600 S MILL AVE, STE 280, TEMPE, AZ 85282-6850
(480) 305-2888
(480) 305-2889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3272
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
993338
—
AZ
Enumeration date
02/07/2006
Last updated
10/31/2016
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