Individual
DEMIANA MARIE KOLTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14445 W MCDOWELL RD STE A104, GOODYEAR, AZ 85395-2518
(480) 561-5000
(480) 984-4066
Mailing address
14445 W MCDOWELL RD STE A104, GOODYEAR, AZ 85395-2518
(480) 561-5000
(480) 984-4066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9992
AZ
Other
Enumeration date
12/09/2022
Last updated
09/21/2023
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