Individual provider · Type 1 NPI

Idenise Cabanas, P.A.-C

Medical Physician Assistant · Mesa, AZ

NPI number 1184630758 Active

Practice location

1425 S Greenfield Rd, 101
Mesa, AZ 85206-5529

Call (480) 981-3000 Map

Fax (480) 654-5761

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2088 (AZ)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1184630758

Idenise Cabanas, P.A.-C's National Provider Identifier is 1184630758, issued on Aug 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mesa, AZ. The record was last updated on Jan 23, 2014.