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Mrs. Amanda Whiteside
Surgical Physician Assistant in Sun City West, Arizona
NPI 1396210621

Amanda Whiteside is a Surgical Physician Assistant based in Phoenix, AZ and is specialized in Surgical. Amanda Whiteside practices in Sun City West, AZ. The NPI Number for Amanda Whiteside is 1396210621 and holds a License No. (Arizona).

The current practice location address for Amanda Whiteside is 14520 W Granite Valley Dr Ste 210, Sun City West, AZ and can be reached out via phone at 866-974-2673 and via fax at 866-939-2673.

Location: 14520 W Granite Valley Dr Ste 210, Sun City West, AZ, 85023-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396210621
Provider Name
Amanda Whiteside
Credential
Provider Entity Type
Individual
Gender
Female
Address
14520 W Granite Valley Dr Ste 210, Sun City West, AZ, 85023-1266
Phone Number
866-974-2673
Fax Number
866-939-2673
Provider Enumeration Date
10/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14520 W Granite Valley Dr Ste 210
City
Sun City West
State
Arizona
Zip
85375-5855
Phone Number
866-974-2673
Fax Number
866-939-2673
person
Provider Business Mailing Address Details
Address
14520 W Granite Valley Dr Ste 210
City
Sun City West
State
Arizona
Zip
85375-5855
Phone Number
866-974-2673
Fax Number
866-939-2673
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
7530 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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