Individual
COURTNEY A FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10476
AZ
363AM0700X
Medical Physician Assistant
MA063977
PA
Other
Enumeration date
09/22/2022
Last updated
10/11/2024
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