Individual
KRISTI LYNN COLONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1311 E THOMAS RD, PHOENIX, AZ 85014-5707
(602) 322-1315
Mailing address
8010 S 18TH PL, PHOENIX, AZ 85042-6806
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2672
AZ
Other
Enumeration date
03/27/2010
Last updated
03/27/2010
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