Individual
ALEXA GRACE AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5133 N CENTRAL AVE STE 206, PHOENIX, AZ 85012-1438
(602) 264-0608
Mailing address
5133 N CENTRAL AVE, PHOENIX, AZ 85012-1438
(602) 264-0608
(602) 234-0417
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10962
AZ
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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