Individual
RACHEL MARA O'DESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3501 N SCOTTSDALE RD STE 130, SCOTTSDALE, AZ 85251-5649
(480) 425-5000
Mailing address
8904 E CAMINO DEL SANTO, SCOTTSDALE, AZ 85260-7606
(602) 614-6107
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4732
AZ
363AM0700X
Medical Physician Assistant
4732
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573928
—
AZ
Enumeration date
10/02/2010
Last updated
02/25/2019
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