Individual
ELENA ONGARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 E PALM LN # A175, PHOENIX, AZ 85004-4603
(602) 386-1100
Mailing address
340 E PALM LN STE 175, PHOENIX, AZ 85004-4612
(602) 386-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083758
—
AZ
Enumeration date
08/22/2020
Last updated
09/14/2023
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