Individual
MR. PATRICK JOHN ENKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Contact information
Practice address
435 N 5TH ST, NAU PA PROGRAM HSEB C615, PHOENIX, AZ 85004-2157
(602) 827-2415
Mailing address
435 N 5TH ST, NAU PA PROGRAM HSEB C615, PHOENIX, AZ 85004-2157
(602) 827-2415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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