Individual
RENAE SLOBODNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4512 N 40TH ST, PHOENIX, AZ 85018-3604
(602) 954-7546
(602) 952-2941
Mailing address
4512 N 40TH ST, PHOENIX, AZ 85018-3604
(602) 954-7546
(602) 952-2941
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6797
AZ
Other
Enumeration date
09/08/2017
Last updated
03/19/2019
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