Organization
MCKENNA MORGAN PA-C, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCKENNA DESTEFANO PA-C (OWNER)
(208) 859-8290
Entity
Organization
Contact information
Practice address
1926 N MACDONALD, MESA, AZ 85201-1725
(208) 859-8290
Mailing address
1926 N MACDONALD, MESA, AZ 85201-1725
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
11/02/2021
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