Individual
DUSTIN C WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9165 W THUNDERBIRD RD, STE 200, PEORIA, AZ 85381-4847
(623) 876-3870
(623) 815-0087
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 815-0087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3322
AZ
Other
Enumeration date
06/07/2006
Last updated
02/05/2008
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