Individual
TINA M KNEZEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
13991 W GRAND AVE STE 105, SURPRISE, AZ 85374-3065
(800) 233-3264
Mailing address
13991 W GRAND AVE STE 105, SURPRISE, AZ 85374-3065
(800) 233-3264
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6217
AZ
Other
Enumeration date
11/04/2015
Last updated
10/06/2022
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