Individual
YAN SULEYMANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2824 E INDIAN SCHOOL RD STE 5, PHOENIX, AZ 85016-6875
(602) 840-0056
Mailing address
2824 E INDIAN SCHOOL RD, PHOENIX, AZ 85016-6863
(602) 840-0056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7120
AZ
Other
Enumeration date
07/25/2018
Last updated
10/23/2018
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