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Individual

MRS. LINDSEY RENEE HUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
10001785A
IN
363AM0700X
Medical Physician Assistant
Primary
6108
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13672491
AZ
Enumeration date
01/21/2015
Last updated
06/23/2020
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