Individual
LAURA MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9520 W PALM LN STE 115, PHOENIX, AZ 85037-4403
(480) 556-0446
(480) 556-0447
Mailing address
1450 S DOBSON RD STE A200, MESA, AZ 85202-4742
(480) 629-5167
(480) 912-1068
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7260
AZ
Other
Enumeration date
01/02/2019
Last updated
01/23/2025
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