Individual
MRS. KRISTEN F RUMBA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9201 W THOMAS RD, PHOENIX, AZ 85037-3332
(623) 327-5923
Mailing address
5601 W EUGIE AVE STE 110, GLENDALE, AZ 85304-1256
(602) 521-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3423
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098338
—
AZ
Enumeration date
06/07/2006
Last updated
01/28/2021
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