Individual provider · Type 1 NPI

Kyla Ballesteros, PA-C

Surgical Physician Assistant · Mesa, AZ

NPI number 1548495997 Active

Practice location

1250 S Clearview Ave, Suite 100
Mesa, AZ 85209-3378

Call (480) 988-9108 Map

Fax (480) 813-4460

Mailing address

3611 N Campbell Ave
Tucson, AZ 85719-1534

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4886 (AZ)

Surgical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1548495997

Kyla Ballesteros, PA-C's National Provider Identifier is 1548495997, issued on May 28, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mesa, AZ. The record was last updated on Dec 2, 2014.