Individual
CAMILYN THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 N CENTENNIAL WAY, MESA, AZ 85201-6733
(480) 737-1955
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6236
AZ
363AM0700X
Medical Physician Assistant
6236
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070716
—
AZ
Enumeration date
10/15/2015
Last updated
03/13/2023
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