Individual provider · Type 1 NPI
Jack Owens Sipperley, MD
Retina Specialist (Ophthalmology) Physician · Phoenix, AZ
NPI number
1235130402
Active
Practice location
4800 N 22nd St
Phoenix, AZ 85016-4701
Fax (602) 508-4830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | 16167 (AZ) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | 16167 (AZ) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1235130402
Jack Owens Sipperley, MD's National Provider Identifier is 1235130402, issued on Aug 10, 2005. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Phoenix, AZ. The record was last updated on May 7, 2019.