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Individual

DENISE JUSTINE IWATANI PAREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10240 W INDIAN SCHOOL RD STE 100, PHOENIX, AZ 85037-5905
(480) 821-3600
(480) 857-2667
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
(480) 857-2667

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8499
AZ
363AM0700X
Medical Physician Assistant
Primary
8499
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101287
AZ
Enumeration date
01/09/2020
Last updated
05/30/2024
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