Individual
KRISTIN RASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6777
AZ
363AS0400X
Surgical Physician Assistant
6777
AZ
Other
Enumeration date
06/13/2017
Last updated
11/19/2024
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