Organization
PROFESSIONAL PA-C SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI MARIE PRESTON PA-C (MANAGER)
(801) 369-4800
Entity
Organization
Contact information
Practice address
1800 E FLORENCE BLVD, CASA GRANDE, AZ 85122-5303
(801) 369-4800
(480) 248-9011
Mailing address
24298 S 199TH ST, QUEEN CREEK, AZ 85142-3336
(801) 369-4800
(480) 248-9011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4317
AZ
Other
Enumeration date
02/02/2012
Last updated
04/10/2017
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