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Organization

ESTRELLA INTERNAL MEDICINE AND PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNE WELLS (PHYSICIAN ASSISTANT)
(623) 535-5599
Entity
Organization

Contact information

Practice address
14541 W INDIAN SCHOOL RD, SUITE 600, GOODYEAR, AZ 85395-9243
(623) 535-5599
Mailing address
14541 W INDIAN SCHOOL RD, SUITE 600, GOODYEAR, AZ 85395-9243

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
11/03/2014
Last updated
11/03/2014
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