Individual
SARA A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13965 N 75TH AVE, PEORIA, AZ 85381-6097
(602) 843-2991
Mailing address
4252 E TULSA ST, GILBERT, AZ 85295-6113
(801) 721-9803
(623) 935-3386
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5072
AZ
Other
Enumeration date
11/14/2011
Last updated
01/03/2020
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