Individual
MS. CAROLYN CRISTI JANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18444 N 25TH AVE STE 210, PHOENIX, AZ 85023-1264
(623) 537-5600
(866) 939-2673
Mailing address
18444 N 25TH AVE, SUITE 310, PHOENIX, AZ 85023-1261
(623) 537-5600
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4643
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679571
—
AZ
Enumeration date
07/27/2010
Last updated
03/01/2024
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