Business Name
Physician First Name
Ravi
Physician Last Name
Bhalla
Practice Name
Specialty
Rheumatology
Office Designation
Primary
Address
13943 N. 91st Ave
85381
85381
Suite
Bldg I
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(623)815-2690
Business Website Address
Business Fax
(623)815-2689
ASPA Effective Date
2/6/1995
Business Name
Physician First Name
Christina
Physician Last Name
Foster
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
13943 N. 91st Ave
85381
85381
Suite
Bldg I
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(623)815-2690
Business Website Address
Business Fax
(623)815-2689
ASPA Effective Date
2/5/2018
Business Name
Physician First Name
Brady
Physician Middle Initial
P.
Physician Last Name
Nelson
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
13943 N. 91st Ave
85381
85381
Suite
Bldg I
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(623)815-2690
Business Website Address
Business Fax
(623)815-2689
ASPA Effective Date
2/5/2018
Business Name
Physician First Name
Iain
Physician Middle Initial
Alan
Physician Last Name
Black
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
13943 N. 91st Ave
85381
85381
Suite
Bldg I
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(623)815-2690
Business Website Address
Business Fax
(623)815-2689
ASPA Effective Date
3/5/2018