Individual
SHERIDAN QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1710 N 159TH AVE, GOODYEAR, AZ 85395-7687
(623) 312-3020
(623) 487-6747
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 821-2838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10951
AZ
Other
Enumeration date
06/05/2023
Last updated
01/24/2025
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