Individual
MELISSA DIANE LOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14044 W CAMELBACK RD STE 204, LITCHFIELD PARK, AZ 85340-9426
(623) 935-9600
(623) 935-9602
Mailing address
14044 W CAMELBACK RD STE 204, LITCHFIELD PARK, AZ 85340-9426
(623) 935-9600
(623) 935-9602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3258
SC
363A00000X
Physician Assistant
Primary
8405
AZ
363A00000X
Physician Assistant
9105
GA
Other
Enumeration date
02/12/2019
Last updated
08/05/2021
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