Individual provider · Type 1 NPI

Mary Jane Risch, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1124886429 Active

Practice location

3100 N Central Ave
Phoenix, AZ 85012-2637

Mailing address

1740 W Taylor St Ste 3200W
Chicago, IL 60612-7232

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124886429

Mary Jane Risch, MD's National Provider Identifier is 1124886429, issued on Mar 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 18, 2025.