Individual
MORGAN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3033
(602) 933-5245
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5542
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5542
STATE LICENSE
AZ
Enumeration date
11/03/2013
Last updated
03/07/2023
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