Ellana Davidov, PA-C

NPI 1538614672 · on the registry since 2016 · sole proprietor

Practice

Address: 2640 W Baseline Rd Ste 111
Phoenix, AZ 85041
Phone: (480) 677-8282
Fax: (480) 535-0962
Organisation at this address: Good Health Medical, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Additional practice sites

6922 W Carter Rd, Laveen, AZ

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona