Individual provider · Type 1 NPI

Courtney Connolly

Medical Physician Assistant · Sun City West, AZ

NPI number 1346625183 Active

Practice location

14502 W Meeker Blvd, Banner Del E. Webb Emergency Dept
Sun City West, AZ 85375-5282

Call (623) 524-4067 Map

Fax (623) 524-4182

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X27-1369141 (AZ)
Medical Physician Assistant Primary 363AM0700X6176 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1346625183

Courtney Connolly's National Provider Identifier is 1346625183, issued on Jul 22, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sun City West, AZ. The record was last updated on Aug 31, 2016.