Individual
MARYKA MADELL GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14044 W CAMELBACK RD STE 118, LITCHFIELD PARK, AZ 85340-9481
(623) 547-2600
Mailing address
5003 W FALLEN LEAF LN, GLENDALE, AZ 85310-3002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8099
AZ
Other
Enumeration date
04/10/2020
Last updated
08/10/2022
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