Provider Demographics
NPI:1467962076
Name:MUNOZ BALDERAS, KARLA MELISSA (PA-C)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MELISSA
Last Name:MUNOZ BALDERAS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:14869 W BELL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-7608
Mailing Address - Country:US
Mailing Address - Phone:623-243-9077
Mailing Address - Fax:
Practice Address - Street 1:2777 E CAMELBACK RD STE 140&120
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4347
Practice Address - Country:US
Practice Address - Phone:480-946-7939
Practice Address - Fax:480-946-5258
Is Sole Proprietor?:No
Enumeration Date:2017-10-09
Last Update Date:2024-07-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant