Individual
KATRINA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6832 E BROWN RD, MESA, AZ 85207-3755
(480) 830-8333
(480) 830-8390
Mailing address
6832 E BROWN RD, MESA, AZ 85207-3755
(480) 830-8333
(480) 962-0106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020924
NY
363A00000X
Physician Assistant
Primary
7837
AZ
Other
Enumeration date
06/28/2017
Last updated
06/21/2024
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