MEDICARE: MISS SARAH E NEUMANN 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	2590	AZ

General Provider Information

NPI Number	:	1487781092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SARAH E NEUMANN PA-C

Provider Business Mailing Address
First Line	:	783 W BLUEBIRD DR
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-2611
Country	:	US
Telephone Number	:	480-516-7115
Fax Number	:

Provider Business Practice Location Address
First Line	:	4425 E AGAVE RD
Second Line	:	148
City	:	PHOENIX
State	:	AZ
Zip	:	85044-0619
Country	:	US
Telephone Number	:	480-785-7546
Fax Number	:	480-704-7549

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	11/12/2015

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Directions to “ MISS SARAH E NEUMANN PA-C” Practice Location

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