Individual
MRS. SONDRA SUZETTE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13555 W MCDOWELL RD, SUITE 104, GOODYEAR, AZ 85395-2624
(623) 512-4176
(623) 512-4199
Mailing address
9250 N 3RD ST, SUITE 4010, PHOENIX, AZ 85020-2437
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3020
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
922733
—
AZ
Enumeration date
08/21/2006
Last updated
10/23/2013
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