Individual
MADISON ABRAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12665 W. SMOKEY DRIVE, SURPRISE, AZ 85378
(623) 219-4040
(623) 219-4050
Mailing address
12665 W SMOKEY DR STE 140, SURPRISE, AZ 85378-3732
(623) 219-4040
(623) 219-4050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8154
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8154
ARIZONA MEDICAL BOARD
AZ
Enumeration date
04/10/2020
Last updated
02/13/2023
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