Individual
MS. SALLY A HARTZELL
Active
Sole proprietor
No
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) 677-8283
Mailing address
2640 W. BASELINE RD, SUITE 111, PHOENIX, AZ 85041
(480) 677-8282
(480) 677-8283
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2273
AZ
Other
Enumeration date
04/26/2006
Last updated
07/21/2022
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