person
Lisa Mcdaniel, PAC
Medical Physician Assistant in Gilbert, Arizona
NPI 1720150709

Lisa Mcdaniel is a Medical Physician Assistant based in Gilbert, AZ and is specialized in Medical. Lisa Mcdaniel practices in Gilbert, AZ and has the professional credentials of PAC. The NPI Number for Lisa Mcdaniel is 1720150709 and holds a License No. 3546 (Arizona).

The current practice location address for Lisa Mcdaniel is 3499 S Mercy Rd, Gilbert, AZ and can be reached out via phone at 480-355-8525 and via fax at 480-355-3115. You can also correspond with Lisa Mcdaniel through the mailing address at PO BOX 756, GILBERT, AZ - 85299-0756 (mailing address contact number: 480-355-8525).

Location: 3499 S Mercy Rd, Gilbert, AZ, 85299-0756
person
Provider Profile Details
NPI Number
1720150709
Provider Name
Lisa Mcdaniel
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3499 S Mercy Rd, Gilbert, AZ, 85299-0756
Phone Number
480-355-8525
Fax Number
480-355-3115
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3546 01 AZ STATE LICENSE
031813 01 AZ MEDICARE
031814 01 AZ MEDICARE
031820 01 AZ MEDICARE
183792 05 AZ
031815 01 AZ MEDICARE
institution
Provider Business Practice Location Address Details
Address
3499 S Mercy Rd
City
State
Zip
85297-0437
Phone Number
480-355-8525
Fax Number
480-355-3115
person
Provider Business Mailing Address Details
Address
3499 S Mercy Rd
City
State
Zip
85297-0437
Phone Number
480-355-8525
Fax Number
480-355-3115
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3546 (Arizona)
Definition
Definition to come...
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