Individual
KEVIN MADAYAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13860 N NORTHSIGHT BLVD, SCOTTSDALE, AZ 85260-3654
(480) 451-6756
Mailing address
1616 N CENTRAL AVE APT 2167, PHOENIX, AZ 85004-1663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6863
AZ
Other
Enumeration date
10/09/2017
Last updated
01/25/2021
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