Ellayna Renee Wiedow Avila, PA-C is a surgical physician assistant in Chandler, AZ with 6 years of experience. Ellayna Renee Wiedow Avila, PA-C NPI is 1417435181. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
485 S DOBSON RD STE 110
CHANDLER, AZ
ZIP 85224-600
Phone: (480) 728-4470
Fax: (480) 728-4499
The NPI 1417435181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/3/2018 and was last updated on 12/11/2023.