PROFESSIONAL PA-C SERVICES LLC NPI 1396017661

NPI Information

NPI: 1396017661
Provider Name: PROFESSIONAL PA-C SERVICES, LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
1800 E FLORENCE BLVD
CASA GRANDE, AZ
ZIP 85122
Phone: (801) 369-4800
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PROFESSIONAL PA-C SERVICES, LLC is a medical physician assistant in Casa Grande, AZ. PROFESSIONAL PA-C SERVICES, LLC NPI is 1396017661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 E FLORENCE BLVD
CASA GRANDE, AZ
ZIP 85122-303
Phone: (801) 369-4800
Fax: (480) 248-9011

The provider's authorized official is Kristi Marie Preston .
The authorized official title is Manager and has the following contact phone number (801) 369-4800.

The enumeration date for this NPI number is 2/2/2012 and was last updated on 4/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	4317	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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