Individual
MADELYN GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21001 N TATUM BLVD, PHOENIX, AZ 85050-4206
(877) 222-5348
Mailing address
4901 E KELTON LN UNIT 1062, SCOTTSDALE, AZ 85254-1005
(623) 466-5202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9111
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/11/2022
Last updated
01/05/2023
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