Business Name
Physician First Name
Kelly
Physician Middle Initial
Donald
Physician Last Name
Chavez
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
1242 E McKellips Road
85203
85203
Suite
Suite 103
City
Mesa
State
AZ
County
Maricopa
Business Phone Number
(480)962-4269
Business Website Address
Business Fax
(480)962-3702
ASPA Effective Date
8/5/2013
Business Name
Physician First Name
Kenan
Physician Last Name
Arkawi
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
1242 E McKellips Road
85203
85203
Suite
Suite 103
City
Mesa
State
AZ
County
Maricopa
Business Phone Number
(480)962-4269
Business Website Address
Business Fax
(480)962-3702
ASPA Effective Date
8/5/2013
Business Name
Physician First Name
Ronald
Physician Middle Initial
Douglas
Physician Last Name
Shiell
Practice Name
Specialty
Dermatology
Office Designation
Primary
Address
1242 E McKellips Road
85203
85203
Suite
Suite 103
City
Mesa
State
AZ
County
Maricopa
Business Phone Number
(480)962-4269
Business Website Address
Business Fax
(480)962-3702
ASPA Effective Date
8/5/2013
Business Name
Physician First Name
Michael
Physician Middle Initial
Shane
Physician Last Name
Hamman
Practice Name
Specialty
Dermatology
Office Designation
Primary
Address
1079 W 23rd Street
85364
85364
City
Yuma
State
AZ
County
Yuma
Business Phone Number
(928)247-6825
Business Fax
(928)247-6827
ASPA Effective Date
3/3/2014
Business Name
Physician First Name
Brook
Physician Middle Initial
Lucien
Physician Last Name
Brouha
Practice Name
Specialty
Dermatology
Office Designation
Primary
Address
1079 W 23rd Street
85364
85364
City
Yuma
State
AZ
County
Yuma
Business Phone Number
(928)247-6825
Business Fax
(928)247-6827
ASPA Effective Date
1/6/2014
Business Name
Physician First Name
Salvador
Physician Last Name
Alonzo
Practice Name
Specialty
Nurse Practitioner
Office Designation
Primary
Address
1079 W 23rd Street
85364
85364
City
Yuma
State
AZ
County
Yuma
Business Phone Number
(928)247-6825
Business Fax
(928)247-6827
ASPA Effective Date
9/14/2015
Business Name
Physician First Name
Rebecca
Physician Middle Initial
Summer
Physician Last Name
Morrow
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
1242 E McKellips Road
85203
85203
Suite
Suite 103
City
Mesa
State
AZ
County
Maricopa
Business Phone Number
(480)962-4269
Business Website Address
Business Fax
(480)962-3702
ASPA Effective Date
3/7/2016
Business Name
Physician First Name
Julio
Physician Last Name
Hernandez
Practice Name
Specialty
Dermatology
Office Designation
Primary
Address
15215 S. 48th Street
85044
85044
Suite
Suite 120
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(480)706-6580
Business Website Address
Business Fax
(480)706-8157
ASPA Effective Date
6/5/2017
Business Name
Physician First Name
Paul
Physician Middle Initial
Eugene
Physician Last Name
English
Practice Name
Specialty
Dermatology
Office Designation
Primary
Address
15215 S. 48th Street
85044
85044
Suite
Suite 120
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(480)706-6580
Business Website Address
Business Fax
(480)706-8157
ASPA Effective Date
4/3/2017
Business Name
Physician First Name
Cynthia
Physician Middle Initial
Michelle
Physician Last Name
Franco
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
36359 N Gantzel Road
85140
85140
Suite
Suite 103
City
San Tan Valley
State
AZ
County
Maricopa
Business Phone Number
(480)636-1193
Business Website Address
Business Fax
(480)664-3661
ASPA Effective Date
8/7/2017