Individual
DR. CHRISTINE SEVERANCE CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19841 N. 27TH AVENUE, SUITE 101, PHOENIX, AZ 85027-4002
(602) 942-8512
(602) 942-1075
Mailing address
19841 N. 27TH AVENUE, SUITE 101, PHOENIX, AZ 85027-4002
(602) 942-8512
(602) 942-1075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005319
AZ
207Q00000X
Family Medicine Physician
20A9613
CA
Other
Enumeration date
08/31/2006
Last updated
05/15/2012
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