Individual provider · NPI-1

Collin Richard Abitz, PA

Physician Assistant · Glendale, AZ

NPI number1376342386
StatusActive
Last updated in NPPESMar 11, 2025

Details

NPI
1376342386
Entity type
Individual (NPI-1)
Name
Collin Richard Abitz
Credential
PA
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 11, 2025
Certification date
Mar 11, 2025
Last updated
Mar 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA.0008871COYes

Practice location

19555 N 59th Ave
Glendale, AZ 85308-6813

Phone 623-572-3200

Mailing address

19555 N 59th Ave # 2053
Glendale, AZ 85308-6813

Phone 623-572-3200

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