Individual
MS. ELIZABETH LEIGH MACDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 515-6296
Mailing address
4630 E ADOBE DR, PHOENIX, AZ 85050-6852
(480) 586-6168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7489
AZ
Other
Enumeration date
06/13/2019
Last updated
09/10/2020
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