Individual provider · Type 1 NPI
Janie Park, RNFA
Surgical Physician Assistant · Mesa, AZ
NPI number
1003820010
Active
Practice location
604 W Medina Ave
Mesa, AZ 85210-6848
Fax (480) 545-2673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | RN 032660 (AZ) |
Surgical Physician Assistant: Definition to come...
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About NPI 1003820010
Janie Park, RNFA's National Provider Identifier is 1003820010, issued on Jul 27, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mesa, AZ. The record was last updated on Jul 8, 2007.