Individual
LINDA S MACCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(480) 718-0568
(480) 999-4102
Mailing address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(480) 718-0568
(480) 999-4102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2509
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2509
STATE PA LICENSE
AZ
Enumeration date
07/03/2006
Last updated
09/03/2020
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