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Individual

SUZANNE SCHLACKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
13075 W MCDOWELL RD, AVONDALE, AZ 85392-6436
(623) 547-0522
Mailing address
13075 W MCDOWELL RD, AVONDALE, AZ 85392-6436

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4740
AZ
363AM0700X
Medical Physician Assistant
PA10233
TX

Other

Enumeration date
10/13/2010
Last updated
02/02/2017
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