person
Mara Danielle Immediato, PA-C
Surgical Physician Assistant in Tempe, Arizona
NPI 1538410071

Mara Danielle Immediato is a Surgical Physician Assistant based in Tempe, AZ and is specialized in Surgical. Mara Danielle Immediato practices in Tempe, AZ and has the professional credentials of PA-C. The NPI Number for Mara Danielle Immediato is 1538410071 and holds a License No. 5195 (Arizona).

The current practice location address for Mara Danielle Immediato is 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ and can be reached out via phone at 480-962-0071 and via fax at 480-962-0590.

Location: 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ, 85281-2892
person
Provider Profile Details
NPI Number
1538410071
Provider Name
Mara Danielle Immediato
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1255 W Rio Salado Pkwy Ste 107, Tempe, AZ, 85281-2892
Phone Number
480-962-0071
Fax Number
480-962-0590
Provider Enumeration Date
09/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1255 W Rio Salado Pkwy Ste 107
City
State
Zip
85281-2892
Phone Number
480-962-0071
Fax Number
480-962-0590
person
Provider Business Mailing Address Details
Address
1255 W Rio Salado Pkwy Ste 107
City
State
Zip
85281-2892
Phone Number
480-962-0071
Fax Number
480-962-0590
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5195 (Arizona)
Definition
Definition to come...
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