Individual
MRS. MARY KATELIN TAVRYTZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 219-6000
Mailing address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(623) 215-5609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9979
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
07/13/2022
Last updated
04/15/2026
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