Organization
CNW PHYSICIAN ASSISTANT SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTABELLE N WONG PA-C (PHYSICIAN ASSISTANT)
(480) 634-5521
Entity
Organization
Contact information
Practice address
975 E RIGGS RD, SUITE 12-268, CHANDLER, AZ 85249-4260
(480) 634-5521
(480) 248-9011
Mailing address
975 E RIGGS RD, SUITE 12-268, CHANDLER, AZ 85249-4260
(480) 634-5521
(480) 248-9011
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872889
—
AZ
Enumeration date
11/01/2006
Last updated
12/13/2016
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