Individual provider · Type 1 NPI

Philip Jordan Ristvedt, PA

Medical Physician Assistant · Sun City, AZ

NPI number 1720482912 Active

Practice location

10503 W Thunderbird Blvd, Ste 262
Sun City, AZ 85351-3048

Fax (623) 933-2596

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5878 (AZ)

Medical Physician Assistant: Definition to come...

33 other providers at this address

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About NPI 1720482912

Philip Jordan Ristvedt, PA's National Provider Identifier is 1720482912, issued on Oct 16, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sun City, AZ. The record was last updated on Oct 16, 2014.