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Individual

ELISABETH LEHIGH MIDDLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3931 E CAMELBACK RD, PHOENIX, AZ 85018-2609
(602) 687-7858
Mailing address
3130 E BASELINE RD STE 105, MESA, AZ 85204-7290
(480) 539-0204
(480) 558-4922

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5651
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5651
AZ LICENSE
AZ
Enumeration date
03/11/2014
Last updated
07/31/2021
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