Individual
MS. COLLEEN R WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2940 E BANNER GATEWAY DR, STE 200, GILBERT, AZ 85234-2171
(480) 964-2908
(480) 833-2136
Mailing address
2905 W WARNER RD, STE 23, CHANDLER, AZ 85224-1674
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4924
AZ
363A00000X
Physician Assistant
PA13596
CA
Other
Enumeration date
10/12/2006
Last updated
01/17/2017
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