Individual
KASSONDRA MELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1432 S DOBSON RD STE 301, MESA, AZ 85202-4773
(480) 464-9400
Mailing address
1432 S DOBSON RD STE 301, MESA, AZ 85202-4773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3773
AZ
363AS0400X
Surgical Physician Assistant
3773
AZ
Other
Enumeration date
02/05/2008
Last updated
07/31/2023
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