Individual
MRS. SOFIA SHALOMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9494 W NORTHERN AVE, GLENDALE, AZ 85305-1118
(623) 872-2226
Mailing address
2550 N THUNDERBIRD CIR STE 303, MESA, AZ 85215-1219
(623) 872-2226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5573
AZ
Other
Enumeration date
10/18/2013
Last updated
07/03/2017
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