Individual
COREY WAYNE DEBERRY-SEGUINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4915 E BASELINE RD STE 112, GILBERT, AZ 85234-2966
(480) 626-6600
(480) 626-6604
Mailing address
4915 E BASELINE RD STE 112, GILBERT, AZ 85234-2966
(480) 626-6600
(480) 626-6604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6480
AZ
Other
Enumeration date
10/03/2016
Last updated
01/04/2023
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