Tina M Knezevic, PAC
Physician Assistant, Medical in Surprise, AZ. Individual provider (NPI-1).
NPI number1457724072
StatusActive
Last updated in NPPESOct 6, 2022
Details
- NPI
- 1457724072
- Entity type
- Individual (NPI-1)
- Name
- Tina M Knezevic
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2015
- Certification date
- Oct 6, 2022
- Last updated
- Oct 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 6217 | AZ | Yes |
Other names
- Tina M Duddy (Former Name)
Practice location
13991 W Grand Ave Ste 105Surprise, AZ 85374-3065
Phone 800-233-3264
Mailing address
13991 W Grand Ave Ste 105Surprise, AZ 85374-3065
Phone 800-233-3264
Other practice locations
21731 N 77th Ave
Peoria, AZ 85382-2109
Peoria, AZ 85382-2109
Phone 623-561-3300
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All 23 Medical Physician Assistant providers in Surprise · All 3,078 providers in Surprise
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