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Harold William Martindale, PA
Medical Physician Assistant in Page, Arizona
NPI 1699956102

Harold William Martindale is a Medical Physician Assistant based in Page, AZ and is specialized in Medical. Harold William Martindale practices in Page, AZ and has the professional credentials of PA. The NPI Number for Harold William Martindale is 1699956102 and holds a License No. 3747 (Arizona).

The current practice location address for Harold William Martindale is 827 Vista Ave, Page, AZ and can be reached out via phone at 928-645-9675 and via fax at 928-645-3030.

Location: 827 Vista Ave, Page, AZ, 86040-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699956102
Provider Name
Harold William Martindale
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
827 Vista Ave, Page, AZ, 86040-1625
Phone Number
928-645-9675
Fax Number
928-645-3030
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3747 01 AZ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
827 Vista Ave
City
Page
State
Arizona
Zip
86040-1625
Phone Number
928-645-9675
Fax Number
928-645-3030
person
Provider Business Mailing Address Details
Address
827 Vista Ave
City
Page
State
Arizona
Zip
86040-1625
Phone Number
928-645-9675
Fax Number
928-645-3030
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
3747 (Arizona)
Definition
Definition to come...
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