MEDICARE: MELISSA ASWAD PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		AZ

General Provider Information

NPI Number	:	1760077275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ASWAD PA-C

Provider Business Mailing Address
First Line	:	5750 W THUNDERBIRD RD STE C300
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4666
Country	:	US
Telephone Number	:	602-938-2848
Fax Number	:

Provider Business Practice Location Address
First Line	:	5750 W THUNDERBIRD RD STE C300
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4666
Country	:	US
Telephone Number	:	623-238-7490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2021
Last Update Date	:	12/13/2022

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Directions to “ MELISSA ASWAD PA-C” Practice Location

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