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Individual

ELLANA DAVIDOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2640 W BASELINE RD STE 111, PHOENIX, AZ 85041-6492
(480) 677-8282
(480) 535-0962
Mailing address
4600 S MILL AVE, STE 280, TEMPE, AZ 85282-6850
(480) 305-2888
(480) 305-2889

Taxonomy

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

Other

Enumeration date
08/18/2016
Last updated
06/24/2019
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