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Individual

AMANDA VITAGLIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
333 W THOMAS RD STE 100, PHOENIX, AZ 85013-4424
(602) 368-3939
Mailing address
333 W THOMAS RD STE 100, PHOENIX, AZ 85013-4424

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5622
AZ

Other

Enumeration date
01/15/2014
Last updated
05/27/2014
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