Individual
FARAH MASSARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 E ROOSEVELT ST FL 7, PHOENIX, AZ 85008-4973
(602) 344-5726
Mailing address
1930 N COUNTRY CLUB DR APT 1067, MESA, AZ 85201-1783
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
8719
AZ
Other
Enumeration date
03/05/2021
Last updated
02/21/2024
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