Individual
MS. LORETTA KATHERINE MCPHEETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
(602) 279-5390
Mailing address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
(602) 279-5390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2959
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946056
—
AZ
Enumeration date
11/21/2006
Last updated
08/27/2014
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