Individual
MS. JONI MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 340-0201
(602) 340-0367
Mailing address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 258-9900
(602) 258-9904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3755
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303202
—
AZ
Enumeration date
11/15/2007
Last updated
08/05/2015
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