Individual provider · Type 1 NPI

Jon Vimmerstedt, DO

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

NPI number 1649019076 Active

Practice location

18701 N 67th Ave
Glendale, AZ 85308-7100

Call (623) 561-1000 Map

Mailing address

1641 E Aurelius Ave
Phoenix, AZ 85020-5559

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1649019076

Jon Vimmerstedt, DO's National Provider Identifier is 1649019076, issued on May 24, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, AZ. The record was last updated on May 24, 2024.