Individual
LISA NICOLE REINERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
755 E MCDOWELL RD, PHOENIX, AZ 85006-2506
(602) 521-3250
Mailing address
1639 W WELDON AVE, PHOENIX, AZ 85015-5524
(602) 521-3250
(602) 521-3251
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5145
AZ
Other
Enumeration date
06/18/2012
Last updated
04/16/2022
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