Individual
AYA HASSAN HARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 S PRIEST DR STE 101, TEMPE, AZ 85281-6499
(480) 821-3600
(480) 857-2667
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7566
AZ
363AM0700X
Medical Physician Assistant
Primary
7566
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000318
—
AZ
Enumeration date
10/20/2018
Last updated
05/30/2024
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