Individual
DEBORAH JOYCE LADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
3536 W GLENDALE AVE, PHOENIX, AZ 85051-8395
(480) 618-0177
(620) 371-2243
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
(602) 782-1880
(602) 671-6915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10387
AZ
363A00000X
Physician Assistant
MA002185L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50047054
KEYSTONE HEALTH CENTRAL
—
Enumeration date
07/12/2005
Last updated
06/19/2026
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