Individual provider · Type 1 NPI

Karie Lynn Fedorick, PA-C

Medical Physician Assistant · Gilbert, AZ

NPI number 1689735482 Active

Practice location

2915 E Baseline Rd Ste 101
Gilbert, AZ 85234-2427

Fax (480) 776-0627

Mailing address

4545 E Chandler Blvd Ste 206
Phoenix, AZ 85048-7645

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2779 (AZ)
Medical Physician Assistant Primary 363AM0700X2779 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1689735482

Karie Lynn Fedorick, PA-C's National Provider Identifier is 1689735482, issued on Dec 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gilbert, AZ. The record was last updated on Apr 12, 2023.