Individual
AMANDA LEE ARVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
207263
AZ
246ZC0007X
Surgical Assistant
Primary
207263
AZ
Other
Enumeration date
01/13/2022
Last updated
06/13/2022
Update your record
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