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Individual

ROSE MARIE MINTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9015 N 3RD ST, PHOENIX, AZ 85020-2444
(480) 882-4545
(602) 714-3755
Mailing address
312 N ALMA SCHOOL RD STE 11, CHANDLER, AZ 85224-4354
(623) 300-5477

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5991
AZ
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
467439
AZ
Enumeration date
02/10/2015
Last updated
05/16/2023
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