Individual
DEBBIE SUNSHINE MASCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
5201 N 19TH AVE STE 121, PHOENIX, AZ 85015-2901
(602) 433-1822
(602) 246-7060
Mailing address
PO BOX 47328, PHOENIX, AZ 85068-7328
(970) 778-1432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5137
AZ
363A00000X
Physician Assistant
763
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03457036
—
CO
Enumeration date
12/20/2005
Last updated
11/28/2012
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