ELLAYNA RENEE WIEDOW AVILA PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1417435181- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 485 S DOBSON RD STE 110, CHANDLER, AZ, 852245600
- Phone
- (480) 728-4470
- Fax
- (480) 728-4499
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: AZ #7241